Toggle navigation
Toggle navigation
Home
DCUM Forums
Nanny Forums
Events
About DCUM
Advertising
Search
Recent Topics
Hottest Topics
FAQs and Guidelines
Privacy Policy
Your current identity is: Anonymous
Login
Preview
Subject:
Forum Index
»
Eldercare
Reply to "Successful appeal for PT paid for by Medicare?"
Subject:
Emoticons
More smilies
Text Color:
Default
Dark Red
Red
Orange
Brown
Yellow
Green
Olive
Cyan
Blue
Dark Blue
Violet
White
Black
Font:
Very Small
Small
Normal
Big
Giant
Close Marks
[quote=Anonymous]I'm familiar with commercial insurance and not Medicare, but these are ideas for how I'd approach it if it were my parents. Also I'm unclear form your post if it's staying in the facility getting rejected or PT and OT itself. Could there be a difference related to that? I would think there would come a time when he'd be well enough to go home but still need services at be home or outpatient. Does he have traditional Medicare or a Medicare Advantage plan? Do you know the exact wording and code for the denial other than he's better? I would ask Medicare/the MA plan these things if they are not obvious. Then ask the facility what they think the submitted in support of medical necessity. Could be a lost paperwork issue on either side.[/quote]
Options
Disable HTML in this message
Disable BB Code in this message
Disable smilies in this message
Review message
Search
Recent Topics
Hottest Topics
