No you don't start the pps cycle over again. A demand bill just means the family is
not agreeing with your facilities decision to cut the resident. The demand bill along
with your facilities documentation of why you cut the resident needs to be sent to
your FI then Medicare reviews the information and may ask for ADR ( additional
documention request). And they will let you know if you cut the resident too early or
if it was appropriate. If they agree with the family they may reduce payment or not
pay at all for the time resident was skilled, but you don't need to restart the pps
cycle.
>>> [EMAIL PROTECTED] 04/15/04 07:46AM >>>
Resident was discharged from MedA when therapy was cut and there was no other skilled
need. Denial letter was sent to family certified mail return receipt. No response to
denial letter. As per our denial letter if you do not respond within 14days days we
assume you do not want a demand bill. Now, 2 months later, the family is requesting a
demand bill. Do I pick up where she left off?? There is no 30day or 60day assessment
and now it would be time for her 90day. Do I start with the current date as the ARD
and code it as a 30day or 90day? Thanks for any help!
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