I'm sorry, but I won't let this go.
Please read both messages below and let me know what the final ruling is.
I alone have 99 residents and frequently do PPS assessments on residents who are admitted and transferred to acute the same day. Judging by Rena's response, I am wasting my time. According to the other writer, I am not.
Which is it?
This is a big issue for me!
In a message dated 4/14/2004 6:27:35 AM Pacific Daylight Time, [EMAIL PROTECTED] writes:
You can bill Medicare and receive payment anytime a resident is admitted
and discharged on the same day. We do it all the time. If they went to
another Medicare participating facility it does not use a day of
utilization, but they still pay the facility (it is considered a
non-covered day with covered charges). Billing should put a '40' in
form locator 24 on the UB92. The 40 tells MC the patient transferred to
another facility before midnight on the day of admission. If they go
home it is a utilization day and you do not use the 40. Either way you
are paid.
>>> [EMAIL PROTECTED] 04/13/04 09:12PM >>>
Not quite.
You can bill Medicare Part A for the day of discharge when it is also
the day
of admission if the beneficiary was discharged to a provider that does
not
participate in the Medicare program. If the resident is discharged to
a
Medicare-participating provider, such as an acute care hospital, the
SNF cannot bill
for that day.
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