Hi.
The estimated or predicted RUG CAN certainly be higher (or lower) than the
actual days/minutes billed/shown on the UB92 due to differing time periods used
for the assessment and the bill.
Section T asks how many days/minutes ordered for first 15 days, and may
include no or one day of therapy actually delivered (RH__= at least one day,
RM__ can be based on predicted minutes only.) It is possible, therefore, for the
MDS to contain NO therapy minutes in section P, a RM__ predicted at section T,
and no minutes billed on the UB92 (if the MDS was done in the first few days of
a new month for a previous late month end admission.) Predicted minutes could
also vary widely for the RH__ RUG.
Hope this explains.
(so you probably need to do no re-billing, even if there are
discrepancies...)
On Mon, 29 Mar 2004 08:03:19 -0800 (GMT-08:00) carol maher <[EMAIL PROTECTED]>
writes:
Billing can send an amended bill to correct their error. There is a time limit, so they should do it as soon as possible./---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Mar 29, 2004 6:19 AM
To: [EMAIL PROTECTED]
Subject: 5 day RUG's differ from actual billing RUGSHey everyone!! I'm still reloading the last 6 months records after Puter death. We have come across a problem our 5 day ruggs (which are caculated on predicted therapy) is not matching up with actual therapy billed. How do you handle Higher Rug's catagory estimates than actual billing
Thanks Bunches
Laurra Eberhart
MDS Manager
Smithfield NC
To admit you were wrong is to declare you are wiser now than before.
--Unknown
