March 23rd would be day one for Medicare.  You need to set a 5-day ARD ASAP.  You are already past the 8th day.  You will need to accept default until the ARD of the 5 day.  Then set a 14 day within 14 days of March 23rd.  It doesn't matter when the resident was admitted to the facility, what you count from is the first day of Medicare A coverage.
----- Original Message -----
Sent: Thursday, April 01, 2004 11:51 AM
Subject: admit non med A and then needed med A

I have a very strange situation.  I have a resident who was admitted to the facility in a non medicare bed on 3-14-04, I had his admission assessment set for 3-20-04, then on 3-23-04 he was pulled up to medicare as he needed skilled care.   I do not know what to do.  I know I need the admission assessment done before the 14th day but with him being pulled up to medicare on the 23rd, how do I get the 5 day in?  Thanks.
Michelle
 
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Thank You.
 
Michelle Witges

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