Published
Thanks Talino,
Just to clarify... yes I did the OBRA, and there is nothing more I can or should do, correct? Our billing department seems to think I can somehow fix this and I just want to make sure That i am doing my part correctly. I did read pages 653-54. What i understand is that for billing purposes the OBRA assessment I did is what they need to use to get what payment they can. Is that right?
Yes, you can set it any time in the first 14 days. Most people like to use day 8 just in case there is a skilled payor source. OBRA MDS coordinators like to use day 14 because it gives you a better picture for a comprehensive plan of care. Sometimes seems like the PPS coordinators and the OBRA coordinators are living in different worlds. Actually in OBRA Medicaid world it is better to use day 8 anyway, because you can usually capture a higher ADL score, as people need more help in the first few days getting settled in, and when you consider you are setting a pay rate for three months possibly, you want to capture the highest documented ADL level you can get. Happy Nurse Assessment Coordinator's Day.
ST
crazyforthis
55 Posts
I was just notified today that a prior patient had Medicare part A while here from 2/21 to 3/3. How do I change the assessment or do I Modify it to reflect her Medicare? We had no insurance info on her at all when she was here. This was sent long ago and accepted by CMS so I am not sure how to handle this one!
Thank you!