In the preceding blogs titled Crash Course in Nursing Homes, Part 1, Part 2 and Part 3, I shared Susan's experiences with illegal nursing home practices and lessons learned. This post summarized the lessons learned for easy reference.
Lesson 1: Rehab/nursing home stays are only covered by Medicare if a patient is first admitted to a hospital for 3 midnights. You may think you're admitted to the hospital but you may actually only be on observation status. Observation status does not qualify you for medicare coverage for a skilled nursing facility. Ask your nurse, doctor, or the admissions team if you are "admitted" or on "observation status."
I received a friendly call the other day from" Medicare" offering me a FREE back brace. Never mind that I don't need a back brace; it's FREE through Medicare! I politely told the caller that this was Medicare fraud and requested that my number be removed from the list. For some reason, he hung up on me!