Actually, in Minnesota, we have what is called a "penalty" rate. This is the
lowest possible rate you can and will receive if you complete/transmit late
or inappropriately. The default rate (or equivalent of 1.0 as the index) is
reserved for discharges less than 14 days where we have opted not to
complete the comprehensive assessment. We have so few medicare people
(5-6/week on the avaerage), and most that will go home are hip fractures,
etc that usually always stay longer than 14 days. Also taken into
consideration was the fact that the default rate lands right about in the
middle and if someone is well enough to go home in less than 14 days, they
frequently would RUG out lower than this if we did complete the assessment.
Our administrator and DON decided it was not worth the time and effort to
try to complete these when the circumstance only came up maybe once every
3-4 months. I guess I'm mixing case mix with medicare. The penalty rate only
applies to case mix, as well as default rate for discharges less than 14
days. Therefore, this only applies to resident's who do not qualify for
medicare. You see how it was to our advantage to opt for the default rate
instead? I know not all states have this as part of their case mix program,
so I'm probably confusing some people. How many states do this?
Jeana in MN
----- Original Message -----
From: "Vogt, Kathy" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Wednesday, April 28, 2004 1:38 PM
Subject: default rate
When are you stuck with the default rate? If the ARD is set out of the
window and if transmitted after 31 days?
Thanks,
Kathy
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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
-----------------------------------------------------------/
/----------------------------------------------------------
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
-----------------------------------------------------------/
