I had the same problem when I first came to current facility, but after
explaining the difference in pay between RH and RV or RU.  They decided I
could set my days to obtain the highest income and they would do interm
billing.  Explain it to them by figuring the difference in payment for the
whole 14 days on one pt.

Davina

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
Debbie Davis
Sent: Monday, May 03, 2004 2:33 PM
To: [EMAIL PROTECTED]
Subject: RE: End-of-the-month MedA admissions


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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