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Re: Medicare paying for stroke rehabilitation

Re: Medicare paying for stroke rehabilitation

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Posted by Deb on November 16, 2000 at 11:52:09:

In Reply to: Re: Medicare paying for stroke rehabilitation posted by larry coldiron on October 22, 2000 at 11:07:12:

: : Hi: I'm appealing an appeal on a Medicare decision, and any feedback would be appreciated. Basically, the "skilled nursing care" facility within 72 hrs. of admission decided that an elderly stroke would not benefit from physical therapy, thereby denying him of the benefits of physical therapy, and making his stay there ineligible for Medicare. When he left there months later, the next facility did give him PT and he greatly benefited from it. Question: Does the facility make more money off a private patient than one eligible for Medicare? What internet sites do you think would be helpful? Thanks

: not aware of any helpful site, but just found out a couple things about medicare my stroke was 8 years ago now in need of a new wheelchair the company informed me that if medicare purchased the original chaie they want it bacl when a new one is bought. also medicare only covers up to $1500 for new chair any amount above the $1500 i'm responsible for 20% of that and the company must settle for the medicare's payment as full payment leaving the balance to be absorbed by the company selling the chair.therefore i'd say that yes the facility would make more dollars off the private patient because they'd bill them in full and not having to except the partial medicare payment as full.
: only my opinion.Larry Coldiron
: coldiron@delanet.com hope this helps

I do not have anything helpful to add on the Medicare issue as I am hitting brick walls on the same thing. My mother had a massive stroke 3 months ago. When she was transferred from a hospital (where she was receiving physical & speech therapy) to a skilled nursing home, the nursing home stopped all speech therapy after 3 days and pt after 3 weeks. I feel this is premature, but have been advised by every agency that I talk to that there is no recourse or appeal to try and get therapy to continue. If anyone has suggestions of how to proceed, resources, etc. I would be most appreciative.




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