I have heard in the past that to issue a denial other than the day before caused some
FIs to deny claims.Reason,if you knew there was no skilled service several days before
why did you wait to give letter.Obviously they were looking at the finances.I have
started calling families/residents few days ahead before I actually give the letter.I
recently had a demand bill situation where the FI wanted a copy of denial letter.It is
much easier to deny a claim based on a technical denial if there were questions on the
letter.Saves the reviewers from looking at the clinical reasons.They asked that if
anyone besides the patient signed,wanted copy of POA.This made me think about having
families sign that have no POA[which is most of them]I will going forward have patient
and family sign together.
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