Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Billing Exceptions Report

I'm new to Medicare MDS Please help...I recieved a billing exceptions report and I'm not sure what I'm supposed to do with it..On one it says that there is no RUG score found, this was an OMRA/EOT, but resident was on for skilled nursing for recent G-tube, I did the EOT/60day on day 57(4/22/11), the BER is saying no RUG for 4/26/11 the resident died on 5/2. the only day not covered is the 26th....I'm SOOOO confused..

On the 2nd one I did early assessment did 14 day on day 9 the only days billed default where day 15 and 16, is there anything that can be done with this?????

Featured Replies

I'm new to Medicare MDS Please help...I recieved a billing exceptions report and I'm not sure what I'm supposed to do with it..On one it says that there is no RUG score found, this was an OMRA/EOT, but resident was on for skilled nursing for recent G-tube, I did the EOT/60day on day 57(4/22/11), the BER is saying no RUG for 4/26/11 the resident died on 5/2. the only day not covered is the 26th....I'm SOOOO confused..

'need add'l info -

  • Day 1 of Med A - 00/00/00?
  • What is the latest date entered in O0400 (A6,B6, or C6)?
    Is the ARD of EOT/60 = 1-3 days after that O0400 date?

On the 2nd one I did early assessment did 14 day on day 9 the only days billed default where day 15 and 16, is there anything that can be done with this?????

If the ARD (day 9) is incorrectly entered, but the assessment data was derived from a correct lookback date (day 11), you can submit a correction request - "X0100.3 Inactivate existing record". Enter the correct ARD (day 11). Submit. But if day 9 was the actual lookback start date for the assm't, the facility will have to accept the default payment for those 2 days.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.