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Users Manual Readmitting a Patient to a Payer A patient may be readmitted to a payer that the patient has been previously discharged from (Refer to the previous section, Discharging a Patient from a Payer). First, a new payer (another payer set with the same payer as the payer the patient was discharged from) must be defined for the patient before a new Plan of Care may be defined using the payer. To readmit a patient to a specific payer and not the agency (i.e. Medicare), first create a new payer set for the payer for the patient: Use the Edit Client/Payer screen to create a new payer set for the payer the patient is to be readmitted to. Refer to section Defining Client Payer Sets for screen pictures. To access the Client/Payer screen, select menu option Administration | Clients and click the Payers button. After the client is selected, use the Find button to select the payer the patient is to be readmitted to. After the Edit Client/Payer screen is redisplayed containing the correct payer, modify the End Date to be the same as the Certification End Date of the last valid Plan of Care before the patient was discharged from the payer. Click the Save Click the New button (to create a new payer set for the same payer). Use the Select button next to the Payer field to select the payer the patient is to be readmitted to. Enter the Insured’s ID and any other information desired. Fill in the Start/End Date with the Certification Begin Date and the Certification End Date for the new Plan of Care that is going to be created for this patient for this payer. 01/18/06 3:13 PM button to save the change. Page 206 of 446
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