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I have been following this and I feel the need to throw my
2 cents in. The interpretation of the manual is that one cannot wait until
day 9 to set the ARD. How would the state or the feds know when you chose
the ARD? If it is day 9 and somehow the need for the MDS was missed and
you went ahead and set it for day 8, how would anyone know that it is late and
needs to paid at default rate?
Michelle
----- Original Message -----
Sent: Tuesday, April 20, 2004 3:46
PM
Subject: Re: PPS Assessments and
Selecting an ARD
We have guidance from CMS: >From the RAI
User's Manual, page 2-40:
<<QUOTE
Late or Missed Assessment
Criteria
A late or missed assessment may be completed as long as the
window for the allowable ARD (including grace days) has not passed. If a
late/missed assessment has an ARD within the allowable grace period, no
financial penalty is assessed. If the assessment has an ARD after the mandated
grace period, payment will be made at the default rate for covered services
from the first day of the coverage period to the ARD of the late assessment.
>>END QUOTE
Rena
Rena R. Shephard, MHA, RN, FACDONA,
RAC-C
Chair, American Association of Nurse Assessment
Coordinators
[EMAIL PROTECTED]
Subj: PPS Assessments and Selecting an ARD
Date:
4/20/04 1:38:23 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to:
[EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
Do you remember a couple months ago we had a discussion
about the setting of
the ARD for PPS assessments? I made the case that
the ID team should be able
to make the ARD decision after the window had
closed (for example, waiting
until day 9 before deciding which of the
first 8 days works best for the
Medicare 5 day ARD).
I learned
today that, lacking guidance from CMS, at least one State RAI
coordinator
teaches this as an acceptable way of setting the ARD. Amazing
isn't
it.
Nathan
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