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I did something like this in a past life.... and after a process redesign, we 
discharged at the end of every year.  

You can control the Admit Date by using either a CDS for the original admit 
date, or use a unique entry in value codes or occurrence codes to capture the 
initial admit date, and in the claims override field 6A with this entry.

We also used a unique Patient Class for these accounts in Abstracting, helped 
immensely with coding.

Not sure if I can help w/Medicaid reimbursements, but yearly discharges are 
definitely the way to go.  This does help with payments, as you'll only have 11 
interim claims, and one final per year (so you'll need to correct TOB for this 
'final' claim also).

Hope this helps,
Cindy Bodnar-Anderson
IS, Senior Programmer/Analyst
Regional Health
Rapid City SD  57701


-----Original Message-----
From: Marie Singleton [mailto:[EMAIL PROTECTED]
Sent: Tuesday, April 25, 2006 1:56 PM
To: [email protected]
Subject: [MEDITECH-L] MAGIC BAR for Nursing Home use


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We are using the MAGIC BAR module for our Nursing Home facility & are running 
into several issues. The claims are billed on an interim basis, but some of the 
patients have been residents for 4+ years. We have accounts with 50+ interim 
bills & many of the accounts are a mess.

We are aware of the C/S LTC module, but this is not an option financially.

We considered discharging the accounts at the end of each year to reduce the 
number of bills on each account, but Medicare requires the admit date to be the 
date the patient was originally admitted (not the beginning of the year).

There is also the issue of Medicaid reimbursement that changes each month. Any 
thoughts that you may have are welcome.

Marie E. Singleton
MIS Applications Analyst
770 304 4303 / ext 1883
[EMAIL PROTECTED]
 
 

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