Jeana, Where in Mn. are you? I'm in Minneapolis at the Mount Olivet Careview Home. We have elected to do all assessments for case mix. We tend to get most of our residents from the hospital, which gives us a higher rate of reimbursement. Susan Woodstrom
> -----Original Message----- > From: Jeana Lundeen [SMTP:[EMAIL PROTECTED] > Sent: Thursday, April 29, 2004 9:54 AM > To: [EMAIL PROTECTED] > Subject: Re: default rate > > 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 > > NOTE: This e-mail message may contain information that is privileged, > confidential, > and exempt from disclosure. It is intended for use only by the person to > whom it is > addressed. If you have received this message in error, please do not > forward > or use > this information in any way. Delete it immediately and contact the sender > as > soon > as possible by the reply option or by telephone at the telephone number > listed (if > available). In the event you cannot fulfill your obligation or there has > been any > improper release of this information, please contact the Privacy Officer > at > Carondelet > Health at (816) 943-4611. > > > > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
