demand bill

[Nancy Kavleski]

Resident was cut from medicareA in Feb after therapy was d/c'd and there was no other skilled needed.  I mailed a denial letter to family certified mail with return receipt.  Family never responded to the denial letter.  Now, 2months later, family is requesting a demand bill.  Do I put this resident back on the pps schedule where she left off?  She has no 30day or 60day MDS done.  It is now day 80 into her 100 day benefit period.  Do I do a 30day and 60day?  Do I start at day 80 and code it as a 30day?  Thanks for any help!

 

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