After reviewing a chart I discovered a denial letter (and subsequent demand bill) was issued prematurely.   Can I/Should I send a new denial letter with a new cut date?  This resident is now readmitted to our unit after a 2wk hospital stay.  To determine if she is eligible for a new spell or same benefit period, do I go by the date we determined she was cut from benefits or do I go by the date her demand bill medicare days exhaust? 


 
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