Wow,    I WOULD BE ALWAYS ARGUING WITH THE BILLING DEPT.  Here, 82 beds part of 320 
bed hospital, I will not vary my practice of 5 day ARD day 5 unless it is for a pt. or 
RUG score reason.  This does not make the billing person happy, but I just let him/her 
talk to my administrator. I am not setting dates to make billers happy, but to make 
appropriate RUG scores.  Perhaps education with the billers would help.  It did here , 
but just a bit.  It is that Anal Retentive style fiscal people must have to close the 
end of the month immediately on the calendar date, not the date that makes the most 
logical, fiscal MDS sense to us smater and more wise MDS nurses. Oh, I am so evil to 
call those "billers" a bad name.  

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Monday, May 03, 2004 2:27 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
/----------------------------------------------------------
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 
-----------------------------------------------------------/


This e-mail was scanned for Viruses by the Ellis Hospital Internal Network.



This e-mail was scanned for Viruses by the Ellis Hospital Internal Network.



This message and any included attachments are intended only for the addressee's. The 
information contained herein may include trade secrets or privileged or otherwise 
confidential information.  Unauthorized review, forwarding, printing, copying, 
distributing, or using such information is strictly prohibited and may be unlawful. If 
you received this message in error, or have reason to believe you are not authorized 
to receive it, please promptly delete this message and notify the sender by e-mail 
with a copy to [EMAIL PROTECTED]
/----------------------------------------------------------
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
-----------------------------------------------------------/

Reply via email to