I think my company is waiting to get direction from our state nursing home assoc 
regarding the new letters.I thought I read a transmittal from CMS last week on their 
listserver that recommended snfs to start using them and all FIS were instructed to 
accept the new and the old.As I have learned in the past,the FI sometimes complies 
long after we think we need to.I don't want the FI to request info and hold up a claim 
because we are using the newer letters.My suggestion is to wait until we have too.As I 
said before the snf I work for now has to issue a denial letter 48 hours before the 
managed care company cuts the benefit.Every other week we keep getting newer forms 
from the managed care company,as usual a work in progress.Sometimes CMS in an attempt 
to simplify makes more confusion.

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