FM

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*melanie stone
Message 1 of 10 (184 Views)

Medicare Reimbursements

184 Views, 9 Replies
03-31-2005 12:42 PM
This discussion came up when we were looking at implementing an FM program here... how do you calculate your medicare reimbursements? This is based on sq footages of certain types of areas (patient care? operating rooms? I don't know for sure). Does anyone know where I can find written requirements for how they want this calculated? There is also the question, during plining a space, do you measure sq ftge in say a patient room from the face of the wall to the face of the wall? or can you just measure from the center of the wall's thickness? Appreciate any help.
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Wanderer-MOTD
Posts: 187
Registered: ‎03-04-2004
Message 2 of 10 (184 Views)

Re: Medicare Reimbursements

04-13-2005 09:09 AM in reply to: *melanie stone
I have also posted this same question on cadville.com and fmforum.org... I am really curious as to how to find the answer...

http://www.cadville.com/modules.php?name=Forums&file=viewtopic&t=57

http://www.fmforum.org./index.cgi?action=Respond&threadid=12998&newsgroup=3&openthreads=
Melanie Perry
***not all those who wander are lost***
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Contributor
Posts: 12
Registered: ‎06-03-2005
Message 3 of 10 (184 Views)

Re: Medicare Reimbursements

06-03-2005 07:54 AM in reply to: *melanie stone
after reviewing the options of "plining" face to face or center of wall, I found that to calculate a more accurate and fair way to allocate the space would be to pline the face to face of all "definable" areas and then subtract the sum of the areas from the total area of the building (+or - the exterior walls). this would result in the area occupied by the walls and other "undefined" areas. This space is then allocated back to the depts proportional to the area of the dept. By doing this it allows you to still keep your room definitions for your FM and eliminate most the special exceptions for unique structure conditions.
*melanie stone
Message 4 of 10 (184 Views)

Re: Medicare Reimbursements

06-03-2005 08:02 AM in reply to: *melanie stone
Thanks for your input!

~nods~ That method makes sense.

Sooo... what about room/space classifications? Do you know the actual
requirements for that?

wrote in message news:4864747@discussion.autodesk.com...
after reviewing the options of "plining" face to face or center of wall, I
found that to calculate a more accurate and fair way to allocate the space
would be to pline the face to face of all "definable" areas and then
subtract the sum of the areas from the total area of the building (+or - the
exterior walls). this would result in the area occupied by the walls and
other "undefined" areas. This space is then allocated back to the depts
proportional to the area of the dept. By doing this it allows you to still
keep your room definitions for your FM and eliminate most the special
exceptions for unique structure conditions.
Contributor
Posts: 12
Registered: ‎06-03-2005
Message 5 of 10 (184 Views)

Re: Medicare Reimbursements

06-03-2005 08:12 AM in reply to: *melanie stone
i use the all of the cost centers from finace, the hard part is determining what cost center a room is allocated to.
*melanie stone
Message 6 of 10 (184 Views)

Re: Medicare Reimbursements

06-03-2005 08:36 AM in reply to: *melanie stone
~nods~ that's the part we're having problems with

~whispers~ finance doesn't actually know where their figures came from...
~shrug~

I've been scouring the net for almost a year trying to find this information
and noone who knows is willing to share the information (read:
contractors/companies that would rather sell me their services than help me
figure out how to do it myself)

wrote in message news:4864806@discussion.autodesk.com...
i use the all of the cost centers from finance, the hard part is determining
what cost center a room is allocated to.
Contributor
Posts: 12
Registered: ‎06-03-2005
Message 7 of 10 (184 Views)

Re: Medicare Reimbursements

07-05-2005 10:33 AM in reply to: *melanie stone
You may also want to look at the "BOMA" standards.
"BOMA" defines how to determine "building area measurement" for the purpose of leasing, and it seems to be the legal standard in most areas.

If you do a search, I think that there is also an international standard that is used in institutional applications.

...still no real defined information directly related to medicare space allocation...
Distinguished Contributor
Posts: 429
Registered: ‎11-12-2003
Message 8 of 10 (184 Views)

Re: Medicare Reimbursements

07-05-2005 02:47 PM in reply to: *melanie stone
Reading this:

"Reply From: lrgh
Date: Jun/04/05 - 02:54 (NZST)
after reviewing the options of "plining" face to face or center of wall, I found that to calculate a more accurate and fair way to allocate the space would be to pline the face to face of all "definable" areas and then subtract the sum of the areas from the total area of the building (+or - the exterior walls). "

Suggest you have a look at ADT if for no other reason than to measure space. With 2006 the ADT space object has the ability to specify a Gross, net and usable boundary with a single room space object. You can manipulate any boundary independently, or together, and schedule them. Add a classification to specify claim status to the space styles and you have your system done. File>Export data to mdb and create a DWF you can share data and graphics with anyone.

see: http://rcd.typepad.com/rcd/2005/03/adt_2006_previe_3.html
Active Member
Posts: 7
Registered: ‎06-29-2005
Message 9 of 10 (184 Views)

Re: Medicare Reimbursements

07-06-2005 09:28 AM in reply to: *melanie stone
Melanie,

BOMA primarily focusses on Commercial real-estate costs and their measurement standards are used for calculating charge back costs to tenants, they do have a provision for medical office buildings but this provision is related to commercial medical office buildings. I would believe that both of these methods would be inappropriate for your use.

Because this is so unclear in terms of medicare costs you may be at risk due to improper reporting if this is done inappropriately. I would suggest that you make your way through the medicare bureaucracy to get the correct answer, or at least one that you can document. The other approach could be to engage the dreaded consultant....I realize that they will charge you but this matter seems important to your organization and risk can be mitigated with professional advice.
*melanie stone
Message 10 of 10 (184 Views)

Re: Medicare Reimbursements

07-06-2005 09:34 AM in reply to: *melanie stone
Well, since I was first brought into this discussion at our facility, we've
hired an outside firm to handle this for us (I only found out about that two
weeks ago, though, nice) via our corporate entity (our communication skills
are eviable here, aren't they?).

But, as I am in the process of requesting additional staff to handle more of
this type of thing in-house (as we've been gouged before and things aren't
kept up to date, so history repeats itself), I'd still like to educate
myself on this topic and eventually take on the responsibility.

Thanks for chiming in, I really appreciate the responses...

wrote in message news:4894033@discussion.autodesk.com...
Melanie,

BOMA primarily focusses on Commercial real-estate costs and their
measurement standards are used for calculating charge back costs to tenants,
they do have a provision for medical office buildings but this provision is
related to commercial medical office buildings. I would believe that both
of these methods would be inappropriate for your use.

Because this is so unclear in terms of medicare costs you may be at risk due
to improper reporting if this is done inappropriately. I would suggest that
you make your way through the medicare bureaucracy to get the correct
answer, or at least one that you can document. The other approach could be
to engage the dreaded consultant....I realize that they will charge you but
this matter seems important to your organization and risk can be mitigated
with professional advice.

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