I passed this by a state surveyor, who was a Medicare Coordinator in a
previous life. She agreed that she didn't do denials on LCD when a
resident exhausted or on a LCD when the resident was discharging the
next day, because technically there is nothing to deny. They have run
out of days, or they are no longer in facility. And I always thought
that the beneficiary had to be denied as close to the date as possible,
not before, or after. Does anyone know where one could find the law on
this??
Renee Pass, RN
MDS/ Medicare Coordinator
The Lutheran Home: Belle Plaine
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Thursday, February 12, 2004 9:39 PM
To: [EMAIL PROTECTED]
Subject: Re: denial letter
In a message dated 2/12/2004 7:26:13 PM Pacific Standard Time,
[EMAIL PROTECTED] writes:
IF RESIDENT RUNS OUT OF MED A DAYS AND IT IS DISCOVERED LATER,
DENIAL OF SERVICES WILL BE ON THE DATE DAYS ENDED.
Comments?
/----------------------------------------------------------
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
-----------------------------------------------------------/
