Re: End-of-the-month MedA admissions

[Holly Sox, RN, RAC-C]

Renie, I have had this situation in the past, and am fortunate to have a current financial manager who has a strong understanding of PPS and does not bother me until at least the 8th of each month.  I generally get as many PPS assessments completed by the 1st day of each month, and give a list of the ARDs to financial for the late month admissions who may classify into RV or RU.   It takes patient reeducation and support from your administrator.  But the increased reimbursement is definitely worth it. If you don't have support right now, then track for a couple of months (it will be time consuming, but will pay off) the amt of reimbursement you miss by closing the assessment early rather than waiting until day 8.  When you present those numbers to your administrator, you can almost guarantee support from that point on.   Good Luck!!     HS Holly F. Sox, RN, RAC-C Clinical Editor   www.careplans.com   [EMAIL PROTECTED] ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, May 03, 2004 2:26 PM 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 -----------------------------------------------------------/