Oh boy! I'd like to know too! Because I have been told that I have to do a PPS mds on a resident admitted then discharged on the same day. I'm in a SNF and usually these residents are admitted then sent back to the hospital.
Thanks
[EMAIL PROTECTED] wrote:
[EMAIL PROTECTED] wrote:
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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