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PPS-1st assessment period

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Is anybody out there doing PPS in long-term care facilities, as of 7/1/98??

If so, when are the facilities transmitting the first time: 5th, 7th or 8th

day? My understanding is that they have until the 7th or 8th day, but some

facilities are insisting on transmitting that 5th day.

> Re: Florida reimbursement & focused medical

> reviews

>

> yes, there's an appeal process, but in the meantime your claims and

> payments

> are held in limbo for many, many months...and, they personally review

> every

> medical record....since nurses are doing the reviewing, and you know how

> nurses hate therapists, they deny even the most logical claim..this is our

> world!

>

>

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I believe that Consolidated billing was only pushed back for Part B SNF. PPS in

SNF is so profound. The advantage that you have is that the National PPS

program closest resembled the New York demo program. I would recommend getting

to your FI in New York for some training and skip some of the consultant

programs, most of which are sales events. No longer can therapy just be

concerned about clinical care. They have to step up to the table and complete

their financial documentation as well. For example, each one of my ancillary

departments including each therapy discipline, complete their own portion of the

MDS AND audit bills themselves personally to make sure that both the MDS and the

UB accurately reflect the services provided.

If each discipline understands the impact, clinical and financial, that they

make to their patients and facilities, they will be in a much better position to

make positive contributions through an extraordinarily trying time called SNF

PPS.

Jon Turton

Vice President

St. ph Regional Rehabilitation Center

, Texas

----------

From: Randal Titony[sMTP:titony@...]

Sent: Friday, July 24, 1998 7:02 AM

To: ptmanager@...

Subject: Re: PPS-1st assessment period

I believe you are referring to consolidated billing, which indeed has been

postponed. PPS has not been postponed. One of the software programs we use is

" Add on. " You can find several in publications such as " Provider " or

" Contemporary Long Term Care. "

Lpkrew@... wrote:

> My facility is in upstate NY, a SNF which has still been all inclusive. I

> have been told by the powers that be, that PPS will not be in affect until Jan

> 99 and possibly later than that. I will need that time to get my act together

> since we have not been billing fee for service. Anyone have any insight on

> software for these billing services. Currently, my facility is using SOS

> software for the clinical and business purposes.

>

> Thanks, I need help quick!

> Donna Barker PT, Director of Rehab

> LPKrew @ AOL.com

>

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