Same Day Scope of Appointment

Oct 31, 2016

  1. Dmr023
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    Dmr023 New Member

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    I know that CMS dictates that an SOA should be collected 48 hours in advance when feasible, however some companies require a documented explanation for the same day SOA.

    Acceptable explanations for same day SOA: Walk-in, Appointment resulting in a same day SoA to a spouse OR guest, Appointment scheduled for next day or same day

    Are there other examples of acceptable same day SOA that you can think of, or have used?

    From your experience, which carriers are the strictest with this requirement?
     
    Last edited: Oct 31, 2016
    Dmr023, Oct 31, 2016
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  2. ICACharleston
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    ICACharleston Expert

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    After Southeast Community Care was bought by Humana, Humana wouldn't accept an app without a scope. This after Southeast was in the penalty box for a year for some compliance issues. Other than that, I have never been asked to produce a SOA after the fact. CMS may just be a scary Halloween legend.:1confused::no::swoon:
     
  3. GreenSky
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    GreenSky Guru

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    Don't overthink this. "Next day appointment" is perfectly acceptable.

    Rick
     
    GreenSky, Oct 31, 2016
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