For any resident who has medicare as a secondary insurance, I put them on a PPS schedule and do the required MDS's as they are due. I found this out the hard way and don't take any chances.
Betty H
Patty Beeken <[EMAIL PROTECTED]> wrote:
Patty Beeken <[EMAIL PROTECTED]> wrote:
Hello,
I should probably introduce myself since I have only been on this list a
very short time. I have been lurking here for a couple of week and have
already picked up a lot of very good information. I am an LPN MDS
coordinator for a Long Term Care facility in Council Bluffs, IA. I have been
doing MDS for about 6 years.
However, I have an MDS question that has never come up before for me..
We have a resident who was admitted with an HMO insurance. She has Medicare
as a secondary Payor. The family told us at on admission that her insurance
was probably not going to pay for her whole stay. I called the State and
asked them how to proceed with MDS and they advised me to do the 5 day and
14 day MDS and just mark the private insurance as payor.
I recieved a call on Friday 3/26 that her insurance was no longer goingt to
pay after that day. I am a little unsure how to proceed here with the PPS
MDS do I just do the 30 day when it is time in the sucession we have already
started? and let the billing office worry about when the billing days
begin?
Patty Beeken LPN MDS
Midlands Living Center
2452 North Broadway
Council Bluffs, IA 51503
712-323-7135
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