I asked this question last week.Do any of your facilities have medicare+ contracts.I
work in Mass and deal with a company called Secure Horizons.As I said last week ,the
snf has been directed according to them by CMS to give a 48 hour denial letter when
services will end.Our initial understanding was that the managed care company would
give the actual letter and we would give an advanced notice so the patient would get a
qick appeal if they wanted it.The case manager tells us today that the snf will give
the actual denial 48 hours before it happens.Our argument is that the manage care
company is giving the denial not us.There seems to be such confusion in my facility
regarding this issue.Anyone hearing of this?
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