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If the
resident qualifies for Medicare A, is discharged to a Medicare A certified bed,
is admitted & discharged (or dies) on the same day, a PPS 5day assessment is
required to be done for that day as the resident would qualify for Medicare A on
that day. Even if they are not in the facility 24 hours, in case of a
death, you would still be paid for 1 day, after doing the assessment.
Pat Whitcomb,
RN
MDS
Coordinator
Madonna
Towers
507-288-3911,
Ext. 3050
Here
is a question. You could only bill Medicare for that day if the resident
is discharged to a nonparticipating facility. If the resident was
discharged back to the hospital or other SNF, then the faciltiy would not be
able to bill for that day????
This
is how I am interpreting the CMS regulations.
If the date of admission and date of discharge
are the same, you may bill Medicare for that day.
Nathan
----- Original Message -----
Sent: Friday, April 09, 2004 1:46
PM
Subject: ADMISSION ASSESSMENT
Thank you. I did not do an assessment and I
did do the tracking form # 8. Someone answered that if it is a Med A
resident that a 5 Day should be done--BUT this resident expired prior to
midnight therefore does not require a 5
Day...correct??
We have a Med A resident
admitted on 3/3 with a diagnosis of respiratory failure, s/p mechanical
ventilation. Her last therapy day was 4/7. She has two stage II
arterial ulcers on her lower extremity which we are treating plus
we are doing diabetic teaching to assure a safe discharge. She has been
an insulin dependent diabetic for 30 yrs, however she has had some short
term memory problems since this illness and is exhibiting difficulties
with the SQ injection. How long can she be skilled under Med
A?
SHARON
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