Re: Insurance numbers for section AA???

[Delores234]

Seems to me it would be helpful for AANAC to post some information on basic Medicare coverage options.  Perhaps we already have this and I am unaware.

Some clarification between SNF Medicare Coverage and ancillary coverage.

Some of the Insurance companies offer both assigned Medicare benefits and supplementary policies.  I never answer Medicare questions until clients give me all of the specifics of coverage. both for the primary payer and supplementary coverage.

I had benefits assigned to Secure Horizons--they were to cover everything part A and B.  It was a mess and limited access to physicians.

I switched to Medicare fee for service for Part A and B and BX Preferred for the supplementary.  All of my Medicare Part A and B services are first billed to Medicare and then to BX.

BX covered some of the Medicare non-covered services--big time. 
I have no pre-auth and I can schedule an appointment with any physician that accepts Medicare -- got to love it
Delores


Delores

AA5b is there to list all payment sources, you need to put all numbers in no matter what they have.

>>>[EMAIL PROTECTED] 03/19/04 11:23AM >>>
I have a resident who's stay was paid by an HMO.  However, billing says she also has Medicare.  Do I put her Medicare # in AA5b on her MDS?  if Medicare did NOT pay for her stay?  I never have before, now billing is putting the numbers in.  
Thanks, Nancy

Delores L. Galias, RN, RHIT

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