tci Medicare Compliance & Reimbursement - 2006 Issue 37

LONG-TERM CARE: Manage Significant Change Assessments Before They Drain Your Coffers

Follow these strategies to secure fair reimbursement for services.MDS teams that don't know when and how to do significant change-in-status assessments for Part A-stay residents will end up leaving more than chump change on the RUG table.That's because a significant change in a resident's condition can lead to a new RUG score and different payment, according to Christine Twombly, RNC, chief clinical consultant for Reingruber & Company in St. Petersburg, FL. The first step: Know what the RAI user's manual counts as a significant change and the time frame for completing an SCSA, which is 14 days...

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