We set the ARD for no earlier than day 3 after admission. The first med a assessment 
drives payment for 14 days no matter when you set the "admission" assessment ARD. Your 
business office practices may be costing you money. Just because they were admitted in 
April does not mean there is ANY reason to BILL for April - especially since you don't 
get PAID for the day of admission! 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
[EMAIL PROTECTED]
Sent: Monday, May 03, 2004 1:27 PM
To: [EMAIL PROTECTED]
Subject: End-of-the-month MedA admissions


Question for the group:  If you have a new MedA resident admitted in the last day or 
two of the month, how do you schedule their assessments?  My billing office insists 
that I set an ARD nlt the last day of the month and complete the assessment nlt the 
3rd working day of the month so they can bill.  Scenario: resident is admitted at 5 
p.m. Friday, the last day of the month.  I set the ARD for the day of admission, 
therapy does not see her over the weekend, so I will take projected minutes for the 5 
day and make the 14 day the admission assessment. Since we can't project for higher 
than an RH, we may be cheating ourselves out of money for the first fourteen days.  Is 
this how everyone else does it?  It seems ridiculous to try to do an assessment on 
seven hours worth of observation.  Any help would be greatly appreciated.  You may 
e-mail me privately if you wish.
                                                         Thanks,
                                                            Renie
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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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