Billing and MDS 3.0

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Specializes in Geriatrics.

Most of my RNAC experience is with 2.0 and the billing person and I worked together to have the billing completed by around the 5th of the month. Now things happened and there was generally one or two assessments that had to be completed later based on the extensive services and rehab category. This was for the Medicare assessments. I recognize though you are still trying to do things based on the best reimbursement.

Do people still use a projected cut off date for billing or is it anything goes. My billing person is getting upset with the current RNAC because she feels every month she gets later and later having assessments locked up and ready for her to bill.

Thoughts? Thanks in advance,

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Specializes in ER CCU MICU SICU LTC/SNF.

Why can't the biller bill what's completed and bill the yet uncompleted assm'ts on the next billing cycle?

An astute move to maximize reimbursement does no disservice to the facility but simply disrupts a biller's "unmitigated routine" in submitting claims. You have up to a year to file a claim from date of service.

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Specializes in MDS/Office.

My company uses the 10th for the end of the month final billing; they have quad check a few days before then.

When Medicare residents are admitted late in the month, you have no choice. ..for example, a resident that is admitted on the 30th of the month would not have an ARD until the next month.

Even in my building, we deal with an impatient billing office/management who develop "amnesia" and wonder why all the claims cannot be released.... :rolleyes:

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Specializes in MDS/Office.
Why can't the biller bill what's completed and bill the yet uncompleted assm'ts on the next billing cycle?

An astute move to maximize reimbursement does no disservice to the facility but simply disrupts a biller's "unmitigated routine" in submitting claims. You have up to a year to file a claim from date of service.

Talino....You are so right; one would think that you would just go ahead and bill what's left the next month....Tell the LTC Corporations that....They are greedy and want their MONEY NOW....LOL ;)

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Specializes in MDS/Medicare.

I'm just reading this now, We need to be closed by the 3rd of the month, mincluding those that came in at the end of the month. It doesn't make sense to us to hold up billing and bill the next month when the patient didn't come in that month. I am an MDS person and it would be sloppy billing for us to hold up claims and bill later. It makes sense when you are running a large corporation and are paying out bills monthly, it would seem that you really need to get paid timely.

thanks!

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Specializes in MDS/Office.
I'm just reading this now, We need to be closed by the 3rd of the month, mincluding those that came in at the end of the month. It doesn't make sense to us to hold up billing and bill the next month when the patient didn't come in that month. I am an MDS person and it would be sloppy billing for us to hold up claims and bill later. It makes sense when you are running a large corporation and are paying out bills monthly, it would seem that you really need to get paid timely.

thanks!

If someone comes in at the end of the month, they would still be in a reference period.

Has nothing to do with holding up billing for a large corporation.

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