by glm777 glm777, BSN, RN Member

Specializes in MDS Coordinator. Has 38 years experience.

Resident admitted in March with supposedly 100 days of Medicare available. Set ARD for day 8, completed and transmitted the MDS. Resident had 3 MLOAs - upon return for each one - we did a five day on day 1-8. We just found out a couple of weeks ago that the resident actually only had 3 days of Medicare available when he initially came to us!! Yes - someone dropped the ball (that's another story entirely) but is there anything we can do now to get payment for at least the first 3 days? I'm thinking not but my billing office wants to be sure. 

Thank you!



Specializes in ER CCU MICU SICU LTC/SNF. 1,010 Posts

Bill the default rate for 3 days.