Yes you can bill Medicare A there is just no "presumed coverage" time period. There has to be an actual in house skilled service which seems evident to me in your e-mail.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Tuesday, February 17, 2004 6:52 AM To: [EMAIL PROTECTED] Subject: skilled coming from home? I have a person coming in from home within her 30 days of d/c from hospital with a qualified stay. she has g tube and trach. Family insist on d/c to home but were unable to meet her needs. Her common working file shows 80/20. She also has insurance. My question is: if she meets medicare guidelines and insurance doesn't pay for ltc, can I bill medicare. When I called the insurance company they said they would pay for 5 days and then re eval. I would like to bill them only for the co pay after the first 20. Hope this works cuz she in the building...... [EMAIL PROTECTED] /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
