I know the misguided thinking of families re the demand bill. the big BUT is
unless every I is doted and T is crossed the fY will through is out and
reject our decision. WE go hit cause I didn't date the letter. 

-----Original Message-----
From: Faye Jones [mailto:[EMAIL PROTECTED]
Sent: Tuesday, February 03, 2004 9:06 AM
To: [EMAIL PROTECTED]
Subject: RE: medicare cut letters


A lot of our residents and/or families request demand bills.  First, the
soon to be outdated letters are not clear and I do not think they really
understand what they are checking.  Second, a lot are done "just in
case".  Some of our Medicaid residents have a personal financial
responsibility when on Medicaid reimbursement that is suspended while on
Medicare and they almost always ask for a demand bill. Third, depending
on who they talk to they sometimes get misguided information about
coverage.  We had a family check on a "feeding tube" and were told it
was covered.  He progressed to adequate po so feedings stopped therefore
no longer skilled.  Needless to say they disputed our decision. 
In any event, I am hoping that the new letters which are much clearer
will help. 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
Wiedemann, Betty R
Sent: Monday, February 02, 2004 3:30 PM
To: 'aanac'
Subject: medicare cut letters

I am having a rash of families presenting me with demand bills. Just as
I
think I'm doing a good job explaining Medicare to families, it bites me.
They just don't get it. Is there anything others of you do to improve
understanding? We take up a lot of time at the inital care plan
explaining
the regs, call at the cut time and then comes the pleading. " Well they
certainly can't go home" 
Any ideas are appreciated. Betty
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
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Be sure to visit the AANAC website. Accurate answers to your
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/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
-----------------------------------------------------------/

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