SNF Overlap Claims

lisamgoguen

Networker
Messages
40
Location
Husdon, New Hampshire
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0
Hi everyone,

So I have been asked to take up the mantle in the office for claims that have denied stating there was a SNF Overlap. I am running into a few scenarios that I need some education on.

#1: Denied for overlap; SNF states patient is private pay and not skilled until after DOS.

#2: Denied for overlap; SNF states patient is Medicaid patient at DOS.

#3: Denied for overlap; SNF states patient was discharged prior to DOS.

Can you all give me some best practices on resolving these types of situations?

Thank you,
Lisa
 
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