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Sounds like the advice to actually talk to Medicare and the secondary insurance carrier to state your situation and see what they say.  Gossip and rumors can cause a lot of trouble and the thing is, insurance is complicated, so what one person experienced in their case, may not be the same for you in your particular circumstances.  It is one thing to refuse to pay the bill so far, and another to state that if you leave AMA, they will not cover if you have to go right back.  So actually talking to Medicare and secondary insurer should help to make things clear in your particular situation.
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Olivedup; so what else could be the reason they want her medicare insurance
Is what it sounds like!! and you just tell them you are going to be staying with your mom! and that you have private caregivers set up! not to mention neighbors, and family !! Do not say any more than that to them .and you can call the onbudsman yourself !! My daughter checked herself out of the hospital against medical advice she was16 nothing happened ...call a lawyer they talk to you free and will give you advice but if mom Can not aford it then they are wrong !! I have my aunt and mom at home .....but I NEVER EVER EVER LEAVE THEM ALONE NEVER, My neighbor lives alone and shes always alone!!after falling ! IF MOM IS WITH IT THEN its OK but just to be safe stay eith her at 1st ..good luck I dont want to say the wrong thing because i do not actually see and know except what you say and I beleive you ...but sometimes we may think our parents are ok to be alone because we may not have seen the dementia sometimes they can cover it up very well but not for long GOOD LUCK!!!
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worriedinCali Dec 2018
I doubt it’s her Medicare they want. Medicare isn’t paying the full amount anymore since she’s been there 31+ days.
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If your mother does go home, she may want to have an "alert" necklace/system. Have you got involved? If she goes home, can she have care a few hours a day/week? Yes, I'm sure the facility is worried about being sued, if anything were to happen.
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jazzie6015 Dec 2018
I don't think so. Once she is discharged whether on her own AMA or doctor approval, they don't worry about getting sued. The are about the money and getting those bigger bucks Medicare pays compared to State.
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SNF wants her to stay long enough that she won't want to leave. They probably figure she is not competent enough to make her own decisions, so she should stay. Many NH do this. It is about the money plain and simple.
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Short answer. Call Ombudsman and you health state agency. Aka department of health. They will help.

-Retired Nursing Home Adminstrator.
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It is typical for the therapy team to meet weekly to discuss a patients progress. If they are insisting she stay, maybe they see something that can still be improved. I would ask if u can be in the next team meeting (either by phone or in person. ). The team (as they call it) will only keep a patient if they feel they can get them to the next level. Her age should only be a factor if they think there is still work to be done to get her where she needs to be. To safely live alone. I think u have to push your way in and find out what it is they plan on making better. If it’s legit, then that will put your mind at ease and help you explain to your mom that this is in her best interest. If they’re trying to get her to a point that you know she will never reach, u (as her daughter) will be able to explain that to them too. Good luck. Trust me, I know this seems like a huge problem but it could be worse.... your mom could be making no progress at all! As the daughter, you have the right to give them your opinion though. Best of luck.
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Hopefully OP has spoken to rehab and told them Mom can't afford PT any longer. Would love to see what they did with the info.
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Sounds like there is the potential for fraud. If you can go above their heads and talk to somebody and get some hard factual reasons that she has to stay With a definite released date, OK.If they don’t then maybe you jump the gun on them and bring in a social worker yourself and say you want your mother released and they won’t allow her to be released. You be the proactive one. you don’t need to be paying for that if she doesn’t need it. Good luck
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Her question was asked the 23rd. Has had time to talk with thevNH about not being able to pay. Would like to know how it turned out.
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I was in hospital for unrelated issues and they would not release me. Said I could leave against medical advice but risk my insurance not paying. I very bluntly matter of factly informed them that I do not pay my bills therefore if they wanted to be paid it would be in their best interest to discharge me appropriately or they would risk not bieng paid. Guess who got their way? It is amazing how money talks.
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I have told my husband that if rehab is recommended for getting my strength back after a 3 or 4 day in a hospital, I am refusing it. I was told Mom hit her plateau on a Thurs, but she wasn't released from rehab till Tuesday, why? Hospitals and Rehabs are not prisons. In both, you cannot make a person bath, take meds, etc but you can tell them they have to stay in the hospital or rehab when they don't want to! Something is wrong here.
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