RE:

[Orth, Ron A]

This is a good reason to verify with the insurance company upon admission if they use MDS RUG scores for payment purposes.  Many insurance companies now are requiring them.  If they do require one, then you would have to complete an assessment in order to get appropriately paid.

 

Ron

-----Original Message-----
From: Corthell, Lisa [mailto:[EMAIL PROTECTED]
Sent: Tuesday, May 11, 2004 1:12 PM
To: [EMAIL PROTECTED]
Subject: RE:

That's what I thought............Thank you.  We have a resident that was here for nine days and was comm insured.  the insurance company wants a RUG rate and an MDS which we can not provide because I did not do one but did a d/c 08.  They are now trying to deny the claim. 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Tuesday, May 11, 2004 2:01 PM
To: [EMAIL PROTECTED]
Subject: Re:

An initial Admission Assessment is not required when a resident is discharged before the end of day 14.  The only requirement is the discharge tracking form with the code 8, discharged prior to completing initial assessment.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: 
Date: 5/11/04 10:53:56 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
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HELP!!!
 

If there is a Commercially insured resident (not Medicare) that stays less than 14 days, do I need to do an admission MDS or can I just do a discharge prior to completion??
Thanks in advance!