Skilled Nursing Facilities

Contents

Editing Leave Tracking Bed Hold LOA Rules

Leave Tracking Rules are edited from the Leave Tracking Link either in the payer setup when leave tracking by payer is configured, or from the leave tracking setup area when leave tracking by facility is configured.

  1. From the leave tracking link, Bed Hold/LOA Rules Listing.

  2. Click Actions.

  4. Update the configuration:

    1. LOA Rule Description.

    2. Status Codes to include.

    3. Define the LOA Rules:

      1. Maximum Consecutive Days Allowed.

      2. Maximum Days Allow Per Period.

      3. Frequency - Month and Day or Start of Resident's Stay.

  • By Payer: When an EMC created payer is already activated at the facility leave tracking by payer must be setup at the facility level, when an EMC created payer is not yet activated at the facility leave tracking can be setup at the EMC level and then when the payer is activated the leave tracking rules flows down to the facility level.

  • By Payer: Leave Tracking is available only for Primary or Primary and Secondary payers.

  • You can create multiple rules.

  • You can select multiple status codes per rule. However, after a status code is used in a rule it cannot be selected again within another rule.

  • Consecutive Days Allowed can be set to yes or no and a number of days can be entered - this defines how many LOA days a resident is allowed to have in a row.

  • Days Allowed per period - when you select Yes, you get an additional option of Frequency. Frequency can be set to Year, Quarter, Month, Stay, Lifetime. You can determine when the frequency begins for the rule with a month and date or that start of each Resident's stay.

  • Year - specify when the frequency begins with a month and date or the start of the Resident's stay.

  • Quarter – is defined as January – March, April – June, July – September, October – December.

  • Month – is defined as the calendar month, January through December.

  • Stay – is defined as the Resident’s stay at the community from move in to move out (admission to discharge).

  • Lifetime – includes all the Resident’s stays at the community regardless of how many move in and move outs they have.

  • Bed Hold/LOA days count are reset for the Resident when the frequency is met.