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Please Post responses to the L.

Marie S.


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sharon Ott
Sent: Friday, July 14, 2006 8:14 AM
To: [email protected]
Subject: [MEDITECH-L] Long term care certified stays

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Question for L users
 
One of our facilities have long term patients and we have them admitted
during a fiscal year on one account number, and at the end of the fiscal
year discharge them and get them a new number.  The problem the finance
area is having is in reporting of when an account has to be changed from
being medicare primary to medicaid primary or sp primary due to
certification approval.  Please see if example below.


Question for you or any MEDITECH facilities with this related issue...

Do you know of any reporting in BAR that might handle the following
situation?

Long term care patients that certified stays may change from MEDICARE,
to MEDICAID to SP during that years confinement.

This means that a single account number might go from having Medicaid
the primary payor, to Medicare being the primary payor, and back to
Medicaid. While the claim form system can sort of handle this, the other
Meditech reporting elements apparently can't.  While working on the
budget, I have to be able to separate the charges up between the charges
covered by Medicare (MCRLTC), Medicaid (MCDLTC), and patient
responsibility (SP - when neither Medicare nor Medicaid is the primary
payor) and the  payments/discounts relating to those charges.

I've not been able to get reports that keep the primary payor/insurance
group status that was in place when the charges were incurred, so I'm
looking for options.  

Any advice on how to handle this type of situation?

If anyone has any type of reporting that they are currently using in
this type of situation, would you be willing to share that information
with us.
 
Thanks
 
Sharon Ott
Analyst
DCH Health System
205.343.8319
[EMAIL PROTECTED]

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