Our company bills all claims for which the assessments are transmitted as soon as possible after the first of the month. Any claim for late admissions, etc are pulled out of the file and sent when the assessment is transmitted/accepted.
You are allowed to send MCR billing in more than once a month so there is no problem with sending a second group of claims each month.
Also, if it is just one day we sometimes will just add that one day in the first month to the next month's claim (unless it spans over fiscal year-end), example 3/31-4/30.
[EMAIL PROTECTED] wrote:
[EMAIL PROTECTED] wrote:
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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