Susan, Are you covering her for the same reason that she was originally covered for in the other nursing facity? To pick someone up within the 30 day window, it must be to treat a condition that was treated during the 3-day qualifying hospital stay or during the skilled stay in the other facility. ----- Original Message ----- From: "Woodstrom, Susan" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Wednesday, March 17, 2004 9:55 AM Subject: Medicare denial on admission
> Yesterday, a resident was admitted from hospital emergency room. Prior to > admission she was living at home with home health care services. No hospital > stay. I gave her a denial notice for non coverage for medicare upon > admission. Her daughter then told us that she thought her mother was in a 30 > day window from a stay at another SNF in February. I call the other facility > to verify information. No return call back. The daughter is requesting a > demand bill. I call the other facility again this morning. They returned my > call and informed me that she was covered under a medicare part A stay > 1/27-2/26/04. Discharged to home on 2/27/04. I know that I can go back and > cover her from admission date. My question is; do I also sent her request > for a demand bill to FI ? > Thanks in advance for the replies. > Susan Woodstrom RN > Mt Olivet Careview Home > Minneapolis, MN. > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
