Hope some one might have had this problem.
Problem: Res admitted in November under HMO.ARD set at day 5 but was not
transmitted d/t res discharged prior to initial assessment.
Now HMO denying claim, says Medicare is primary. The assessment was
completed in the correct time frame but wasn't transmitted. It is coded for
Insurance and no Medicare.
Should I leave it the way it is? Change the codes to reflect Medicare need?
Do I call some one since it will be transmitted late?
I really, really need help!
Thanks in advance
Christine Richardson LPN/CRNAC
Nursing Assessment Coordinator
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