This is correct. The 5-day assessment does not 'certify' them for skilled care. If the resident no longer meets skilling criteria, you would 'cut' them from medicare and only bill for the covered days. A significant change may be warrented if they are going to stay in your facility and they meet the criteria, but since they would no longer be on Medicare the RUG is irrelevant for Medicare purposes.
Ron -----Original Message----- From: Julie Thomas [mailto:[EMAIL PROTECTED] Sent: Friday, April 30, 2004 3:53 PM To: '[EMAIL PROTECTED]' Subject: 14 day If you do a 5 day that sets your level of care for 14 days you cannot claim the entire fourteen days if the resident's needs do not remain skilled for 14 days, right? Another words, you might have 14 days certified but if the resident no longer requires skilled services after 6 then you discharge or do a Sig change for a reduced RUG? Julie Thomas, RN BSN Quality/Clinical Coordinator KB Enterprises 254-445-2517 ext.16 This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If this message contains protected health information (PHI), it should not be forwarded to any other recipient without the authorization of the original sender and should be encrypted when possible. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the email address or telephone number above and delete this email from your computer. --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.672 / Virus Database: 434 - Release Date: 4/28/04 /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
