Thank you Marnie! Those slides were very helpful and addressed the question directly!
Brittany Schwecke
Accountant
Renville County Public Health Services
105 South 5th Street, Suite #119H
Olivia, MN 56277
Direct: 320-523-3721
Public Health : 320-523-2570
Email :
brittanys@renvillecountymn.com
Web :
www.renvillecountymn.com
For the most up-to-date information on
COVID-19, please visit one of the following sites:
MDH -
https://www.health.state.mn.us/diseases/coronavirus/situation.html
CDC -
https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/index.html
Minnesota Department of Health hotline to call with health questions: 1-800-657-3903
From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Marnie Pogreba
Sent: Thursday, April 9, 2020 3:46 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Medicare PDGM Billing questions
RENVILLE COUNTY SECURITY NOTICE:
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Brittany,
I attached some slides from a webinar. It only talks about the institutional stays prior to home care. So maybe the most current stay prior to home care is the one you need to report.
Marnie
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Brittany Schwecke
Sent: Thursday, April 09, 2020 7:53 AM
To: 'billers@list.mnhomecare.org'
Subject: Medicare PDGM Billing questions
|
**External Sender**
|
1.
If client had both a hospital stay/discharge and SNF/rehab within the last 14 days, which occurrence code should we be using (61-hospital or 62-SNF/rehab)? Should we be using
both or whichever was most recent?
2.
If the client (in which the 1st 30 day period is institutional) has a transfer within the 1st 30 days, which occurrence code/dates do we use for the final
claim? The occurrence codes and dates from the initial discharge from the hospital before the client transferred to us for homecare or the dates that they discharged from hospital to come back to us? Example: Client is hospitalized and needs homecare. Client
discharges from hospital and opens to our Homecare agency. {We know this first 30 day period would be institutional (occurrence code 61) because they discharged from the hospital within the last 14 days.} Now after being open to home care for 8 days, the client
is readmitted to the hospital and later discharges back to us for continued Homecare.
Question is: When we submit the final claim for the 1st 30 day period, do we use the occurrence code and dates from the initial hospital discharge or the second one?
Brittany Schwecke
Accountant
Renville County Public Health Services
105 South 5th Street, Suite #119H
Olivia, MN 56277
Direct: 320-523-3721
Public Health : 320-523-2570
Email :
brittanys@renvillecountymn.com
Web :
www.renvillecountymn.com
For the most up-to-date information on
COVID-19, please visit one of the following sites:
MDH -
https://www.health.state.mn.us/diseases/coronavirus/situation.html
CDC -
https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/index.html
Minnesota Department of Health hotline to call with health questions: 1-800-657-3903
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