managed care and the mds

Specialties MDS

Published

Hey guys,

I just started at a new facility, I have a question about how a managed care assessment in put into your system...for example...in the past any skilled managed care resident, just rec'd an admission assessment then followed the OBRA schedule. This building does an admission assessment, federally req assessment then a 5 day with the same ARD but codes it as "not a federally req assess" then the 14 day and so on like a Med A patient, all not labeled as a federally req assessment.

I am very confused and wondered if anyone in PA is doing this. Other RNACs I know in PA are not. maybe Aetna has changed they way they are billing and want to use the patient RUG score...any help would be appreciated,

I know that at least one software product DOES allow you to distinguish non-Part A PPS-like assessments, but I'm afraid I don't remember which one. If you happen to be on the market for software, ask about this.

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