How Do I Discharge From Medicare But Stay Active With Another Insurance?

Agency can discharge from the Medicare Payer (put end date on Medicare payer under patient encounter > Payer tab > Profile bubble) and upon Recert the new M0150 questions will indicate the change in payer sources and change in the patient condition. You will have to discharge patient (top left to right of patient name), add the discharge service note (if visit was done) or discharge oasis (if visit was not done by clicking on the drop down to the right of the 485 and choosing "add oasis").  Before you export the oasis (very important not to export first or system will not allow you to reverse the discharge), reverse the discharge by going to the patient encounter > profile tab > current encounter > edit and "reverse discharge". This will leave patient active but will end Medicare episode.

CHANGING FROM PPS PAYER TO MEDICARE

  • Patient will need to be discharged and re-admitted

CHANGING FROM FFS TO MEDICARE

  • Patient will need to be discharged and re-admitted