Go to AANAC web site-under "Need to Know" section- There it lists a site regarding denial letters. http://www.aanac.org/pages/lib/get_file.asp?id=623
I saw what you needed on this site today.
JenVo in Missouri
Lauren Atkinson <[EMAIL PROTECTED]> wrote:
Lauren Atkinson <[EMAIL PROTECTED]> wrote:
Hi. My organization has contracts with HMOs who have members still covered under Medicare Part A with the HMO as backup payor. I understand it is the facility's responsibility to manage the denial of coverage process but where can I find this in the CMS manual? I need this to prove to the HMO Case Managers the facility must deny, not the HMO (who is not paying for the skilled services). Thank you.
As always-Jen
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