you can read about the notice of medicare non coverage ruling at
www.medqic.org/content/qio/qio.jsp?pageID=4 the Grijalva final rule

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
[EMAIL PROTECTED]
Sent: Thursday, March 04, 2004 3:17 PM
To: [EMAIL PROTECTED]
Subject: New ABN Notice


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.

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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
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    For more info visit us at http://www.aanac.org
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/----------------------------------------------------------
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
-----------------------------------------------------------/

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