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Crash Course in Nursing Homes: Summary of 11 Lessons Learned

[fa icon="calendar'] Feb 5, 2019 8:04:00 AM / by Kim Mcilnay, BCPA posted in self-advocacy, elderly illness, Medicare, medi-cal, Nursing Home/Skilled Nursing Facility

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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." 

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Crash Course in Nursing Homes Part 1: When You Can't Pay

[fa icon="calendar'] Dec 3, 2018 11:33:00 AM / by Kim Mcilnay, BCPA posted in self-advocacy, Medicare, medi-cal

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Who pays for a nursing home stay when a patient isn't able to pay for it themselves?  I went through a crash course recently while helping a friend who needed a nursing home. I'll share a few insights with you from that experience.

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Avoiding Medicare Fraud

[fa icon="calendar'] Jun 11, 2018 10:48:21 AM / by Kim Mcilnay, BCPA posted in Medicare

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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! 

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