No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. V0200B2 CAA Completion Same as MDS completion Must be RN 4. Medicare standards: Designated by the reason selected in Item A0310B, The stay is less than 8 days within a spell of illness, The SNF is notified on an untimely basis of, or is unaware of, a Medicare Secondary Payer denial, The SNF is notified on an untimely basis of a beneficiarys enrollment in Medicare Part A, The SNF is notified on an untimely basis of the revocation of a payment ban, The SNF is notified on an untimely basis of, or is unaware of, a beneficiarys disenrollment from an MA Plan, The resident dies on or before Day 8 of the SNF stay, The resident transfers or discharges on or before Day 8 of the SNF stay, The resident has a Short Stay (described below), The resident admits to an acute care facility and returns, The resident goes to an acute care facility over a midnight and for less than 24 hours (without being admitted), The resident goes on a Leave of Absence (LOA) from the SNF, The resident discharges from Part A skilled services, remains in the facility, and then returns to SNF Part A skilled level services, There is a delay before the resident requires and receives skilled services, Appropriate HIPPS codes, in the order in which the beneficiary received that level of care, with revenue code 0022, Occurrence code 50 with the ARD for each assessment period represented on the claim (except for the default HIPPS code AAAxx), No later than 14 days after change/error identified, Day 7 (last day) of the COT observation period, Last day of the Medicare Part A Stay, and the last day of the Medicare Part A stay must fall within the allowed window of the Medicare scheduled assessment, Must be completed within 14 days after the ARD. All SNF claims must include Health Insurance Prospective Payment System (HIPPS) codes, which is a 5-digit code consisting of a 3-digit RUG-IV code and a 2-digit AI, for the assessments billed on the claim. An official website of the United States government %PDF-1.4
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Setting the schedules is one of the most important parts of the job and one of the most difficult to master. Completes 14-day assessment with an ARD of, Pays default rate for the first day of payment period, Completes 30-day assessment 8 days late with an ARD of Day 41 (out of compliance, Pays default rate for first 8 days of payment period, Completes 14-day assessment 15 days late with an ARD of Day 32 (out of compliance, Pays default rate for the 15 days the 14-day assessment would have covered.
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