The last time we (medical records department) checked (mid-January 2004) our FI (Empire Medicare) was still telling us to continue using the old denial letter form. I had talked with them in late 2003, when this issue first came up, and I was told by the FI that, "We do not know anything about the SNF ABN forms." They said that we should keep using the present forms (denial letters) until they (FI) tell us otherwise. It would make sense that using the SNF ABN would have to be acceptable, but isn't it the FI who decides whether you are complying? Based on that, we are going with what our FI is asking us to do.
Theresa A Lang <[EMAIL PROTECTED]> wrote:
Theresa A Lang <[EMAIL PROTECTED]> wrote:
Per the SNF open door forum held on January 20, which I listened to in its
entirety:
What I heard is, the SNF ABN does not have to be implemented until 10/1/2004
or the date may change. BUT if you do not use it at this time you are not
protected under the limits of liability provisions of the Medicare
regulations.
They indicated that they would be sending the statement the read out- but I
have not seen it to date and it has not been posted in the CMS open door
forum website yet either.
So that can be interpreted in what ever way you would like, but you could be
financially liable effective now if you do not use it.
Theresa Lang
Specialized Medical Services, Inc.
Milwaukee WI
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
Connie L. Frank
Sent: Wednesday, February 04, 2004 10:54 AM
To: [EMAIL PROTECTED]
Subject: RE: medicare cut letters
I recently heard that the revised mandated CMS denial letters were pushed
back to Oct 2004 for initiation. Can anyone confirm this. Originally I
thought it was Oct 2003. Are these the same paragraphs that you are
referring to?
-----Original Message-----
From: Christine Workoff [mailto:[EMAIL PROTECTED]
Sent: Wednesday, February 04, 2004 10:50 AM
To: [EMAIL PROTECTED]
Subject: RE: medicare cut letters
Hi
I would also be interested in your denial paragraphs. My Fax # 610-799-3099
Thanks
Chris
>From: "Knight-Miner, Karen (RMH)" <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: <[EMAIL PROTECTED]>
>Subject: RE: medicare cut letters
>Date: Tue, 3 Feb 2004 08:05:17 -0500
>
>Betty, I have pages of denial paragraphs. The proper paragraph is
>inserted into the denial letter. If you want, I can fax them to you. I
>rarely have had a problem since I started using these. Call me, Karen
>
>-----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
> "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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/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
-----------------------------------------------------------/
Caroline Larson, RN, MS, RAC-C
MDS/PRI Coordinator
Fairport Baptist Homes, Fairport, NY 14450
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