Would we still issue the same letter for those residents who have exhausted their 100 days? I still have families asking for a Medicare appeal even after all 100 days have been utilized...do you think CMS will ever stop that practice? I think it's ridiculous, especially when they are not entitled to any other days...Just my opinion.
[EMAIL PROTECTED] wrote:
[EMAIL PROTECTED] wrote:
As I said the first of the year,we as a facility provide a notice of noncoverage to our Managed care patients.The case manager tells us 48 hours prior to denial to give a letter.The form is much like the ABN sample.Our financial person doesn't like the language in the sample ABN,estimating the daily financial charges are difficult,room and board is easy,but daily phar,supply,and lab charges may be difficult..He feels the state nsg home group will review these letters and have some directions to the facilities before the letter is mandated.CMS is having another openform in March,will have another draft and then another final review before we need to start.We have decided to stick with what we now do until we must change.
/----------------------------------------------------------
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! Search - Find what you�re looking for faster.
