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Discussion:
Medicare Denial of Claim?
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I work in long term care. I have been working in long term care for 10 years. 2 of those years I did short-term rehab in a skilled unit that was set up like a hospital but under SNF benefits. Well, I started working at a place that is primarily long term care. Rare if any rehab and discharges. For the past 10 years I have seen claims denied when a person discharged against medical advice (not like leaving a day early...I am talking about them being at risk if they went home alone and not recommended by any doctor to do this without 24 hour support) Anyway, I told a client they may be responsible for a bill if they leave. My boss said not to tell them that and she "didn't think it was true" without looking it up first. Well, pretty soon this lady that has been hotlined is going home and will probably be in bad shape after a week with no services. Does anybody know if there is any possibility that my supervisor is correct on this. I've never seen this happen and maybe I have been at buildings where auditing happens regularly.
Posted on 10/23/09, 08:10 pm
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