I agree.  I head up the PPS systems for a large organization.  Upon coming
on board here there were directives to complete assessments on end of month
admissions ASAP.  I did show the organization the negative impact that we
can recieve by completing the assessments within the first couple of days
vs. waiting until the end of the assessment window and picking the best date
possible.

Stating this, I also instruct our facility MDS coordinators that once they
pick the date to get us the best possible RUG they must complete the
assessment and transmit it ASAP so that the claim for the previous month can
be released.

I have found that will some education, this does not become nearly the issue
it has in the past.

Ron

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Tuesday, May 04, 2004 5:04 AM
To: [EMAIL PROTECTED]
Subject: End of month billing


I too worked at one time for one of the big chains.They had a formula that
you had to have a percent of the med a days billed by first of next month or
you were spoken to.I was able to show them that they were losing money by
not setting the ard to capture rehab.As a nurse I greatly resent billers
telling me what to do.I feel if you are the person responsible for setting
ard for PPS,you need to capture the best reimbursement for the facility.

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The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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