Do you give the resident/family a letter at the time of admission telling them about Medicare and that Medicare will be billed but if the resident doesn't qualify they will be responsible? If so, this begins the process for billing the next source. If you don't give such notice and have the resident/family sign it you might have no choice but to "eat" it. We started issuing the notice at time of admission after a little "indigestion" from the "eating"!
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