|
I haven't checked my facts but I believe the time
line established by the FIs for the regular Medicare folks is 24 hours, as
demonstrated with the demand billing example on page 11 of
the Billing and Processing Issues chapter on the SNF PPS Quick
Reference Guide at the Medicare Learning Network: http://www.cms.hhs.gov/medlearn/refsnf.asp.
I understand that there is some question as to whether or not the SNF ABN will
change this (i.e., require more time for notice), but if it will, CMS and the
FIs haven't to my knowledge said so yet-Caralyn
----- Original Message -----
Sent: Friday, February 13, 2004 9:27
AM
Subject: RE: denial letter
Can you tell me where
I can find the ruling that it is now 48 hours? Thanks
-----Original
Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
Gloria Benton
Sent: Friday, February 13, 2004 8:12
AM
To: [EMAIL PROTECTED]
Subject: RE: denial
letter
litigation
done over this, new ruling, issue denial letter at least 48 hours before
patient is taken off therapy/skilled care
-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Debbie Settle
Sent: Friday, February 13, 2004 6:20
AM
To:
[EMAIL PROTECTED]
Subject: RE:
denial letter
Along
the same line....... How early can a denial letter be issued? We have
Medicare Meeting 1x week and usually decide in that meeting when resident
will be coming off Medicare. I like to go ahead and issue letter immed so
family can plan accordingly (esp if resident is staying in facility and will
be pvt pay). My current facility's practice when I came on board wsa to
issue letter on last covered day. My former facility's consultant had told
me the letter should be issued on last covered day or the next to last day.
Does anyone know what the regulation says?
-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Jennifer
Russo
Sent: Thursday,
February 12, 2004 5:17 PM
To: [EMAIL PROTECTED]
Subject: RE: denial
letter
Issue the denial
immediately upon discovery. You can't go back as the resident and
responsible party are supposed to be notified day of denial. (Save your
self from ALJ hearing hassles in the future!!)
-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Nancy
Kavleski
Sent:
Thursday, February 12, 2004 3:26 PM
To: [EMAIL PROTECTED]
Subject: denial
letter
When it is determined the
resident is no longer skilled, how soon does the
family/responsible party have to be notified? What if you
discover the resident should have been cut several days ago.
Do you cut them the day you discover they are no longer skilled or
the day they should have been cut? |
|
|
Patsy Strouse
<[EMAIL PROTECTED]> wrote:
Section
T2.
>>> [EMAIL PROTECTED] 02/12/04 03:06PM
>>>
Not doing section T.No Medicare on this one. Med B
only
-----Original Message-----
From: Kristen Tryba
[mailto:[EMAIL PROTECTED]
Sent: Thursday, February 12, 2004 1:53
PM
To: [EMAIL PROTECTED]
Subject: RE: Section G
Ambulation
Section T
-----Original
Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
Richardson,
Christine
Sent: Thursday, February 12, 2004 1:39 PM
To:
[EMAIL PROTECTED]
Subject: RE: Section G Ambulation
Then
where do you reflect
in the MDS that the res does have the ability
to walk?
-----Original Message-----
From: Michelle Witges
[mailto:[EMAIL PROTECTED]
Sent: Thursday, February 12,
2004 1:42 PM
To: [EMAIL PROTECTED]
Subject: Re: Section G
Ambulation
Does the resident walk in her room, in the hall
or the therapy room? If
the only place the resident walks is in the
therapy room then they would
have 8 on walking in room and hall.
Michelle
----- Original Message -----
From: "Green, Ava"
<[EMAIL PROTECTED]>To:
<[EMAIL PROTECTED]>Sent: Thursday,
February 12, 2004 1:09 PM
Subject: Section G
Ambulation
> If you have a resident who does not walk in
her room, but does walk in
> therapy, do you code on MDS
section G for ambulation, or do you code
> as an
8
>
because they never walked in their room?
>
> Thanks in
advance for your help,
>
> Ava
>
/----------------------------------------------------------
>
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
-----------------------------------------------------------/
"This
e-mail is intended for the sole use
of the intended recipient and
may contain
privileged, sensitive, or protected
health
information. If you are not the intended
recipient, be
advised that any unauthorized
use, disclosure, copying,
distribution, or
action taken in reliance on the contents
of
this communication is prohibited. If you
have received this
e-mail in error, please
notify the sender via telephone or
return
e-mail and immediately delete this
e-mail."
/----------------------------------------------------------
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
-----------------------------------------------------------/
Do you
Yahoo!?
Yahoo! Finance: Get
your refund fast by filing
online
PRIVACY NOTICE
-13/2/2004- The information contained in this message is privileged and
confidential information intended for the use of [EMAIL PROTECTED] If you are
neither the intended recipient nor the employee or agent responsible for
delivering this information to the intended recipient, you are hereby notified
that any disclosure, copying, distribution, or taking of any action in
reliance on the content of this information is strictly
prohibited.
If you have
received this information in error, would you be so kind as to notify us
immediately by the telephone number provided below and immediately destroy or
delete the information. Thank you.
Telephone Number:
218-749-9408
|
