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We use it at UTMB hospital systems in Texas. Some authorizations can be given within 4 hours of submission vs up to 72 hours for other payers. And they are also able to quickly change locations in the event of capacity or facility denial. 10/10 would ...

We've had patient's do the same thing. In these cases, if the patient is appropriate for SNF, we hold off delivering the HINN-12 until we have any SNF bed secured, then deliver the HINN-12 the day prior to the day the SNF could accept, with the liability ...

Slow to respond but... this makes no sense. Did you tell them you are discharging them? Was there a discharge order? By the regulations, if a Medicare patient requires SNF care and you do not have an accepting SNF, you cannot discharge them and the ...

I am currently managing a patient at an LTACH who has received a last covered day notification from their commercial insurance. During discharge planning, it was identified that the patient does not qualify for Florida Medicaid due to non‑U.S. citizen ...

You are right- CAHs don't need to focus on CMI because of your payment structure. The CMI is a DRG-based measure. It is a measure of resource use for the average patient in that DRG and CMS and payers use it to calculate the DRG payment. ...

I have a situation I'd like to run past you to see what you all do: A Medicare patient filed a discharge appeal before we had the discharge plan all arranged. The patient was medically ready to discharge but we were still working on finding a SNF for ...

We are currently starting this process with Home and Community Care who manages Humana and UHC in our area. They have a platform you submit your own PA and they will actually track the data on their end and meet regularly with you. I know Availity just ...

The PASSR is SNF transfer form, here in FL. I don't know if you have them, but perhaps something equivalent. The level two allows us to admit pts with mental illness. ------------------------------ Jackie Jerles Cape Coral Hospital Ft Myers FL --- ...