Reply to Medicare appeal question - discharge from subacute rehab

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[quote=Anonymous]For those who are knowledgeable, I’m trying to understand what I need to pull together to do a medicare appeal.

My elderly dad who has moderate dementia is in a subacute rehab facility in NJ  following COVID in early August.  While at the rehab facility he fell and hit his head, had a subacute hemorrhage and ended in the hospital for a few days before returning to the rehab facility.  So now he actually is worse off than when he got ther originally, but he is slowly recovering.  The facility plans to discharge him from subacute rehab to their long term care unit saying that “he has plateaued”.  I understand to appeal the decision we are supppoesd to have a doctors note saying he needs the therapy.  But how am I supposed to get a doctor to see him when he’s inpatient at a subacute facility?  They have their own medical staff - and it’s the facility that seems to be giving up on him (which I’m pretty annoyed by since he fell on their watch.). I understand that a subacute hemorrhage can take several months to recover from.  He’s sleeping a lot now because he’s recovering from both COVID and a head injury - but he still needs the PT and OT and speech therapy to try to get him back to the level he was at before COVID.  We feel pretty stuck and confused on how to naviagate the system.

Appreciate any thought or other advice.  [/quote]

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