I give the Denial letters to the Medicare residents and to the residents that come in and are not qualified for SNF.
--- [EMAIL PROTECTED] wrote: > 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? > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of > the > American Association of Nurse Assessment > Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers > to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ __________________________________ Do you Yahoo!? Yahoo! Hotjobs: Enter the "Signing Bonus" Sweepstakes http://hotjobs.sweepstakes.yahoo.com/signingbonus /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
