I'm not even sure that Medicare knows about Medicare!! I understand your discouragement - we have all felt it to some extent, but don't exit LTC too quickly, if it is truly your love...it is because of caring folks like you that make this industry worthwhile.
I remember a gal, from an assisted living facility, who at the age of 98 - broke her hip, opted for the replacement, did her rehab at our building, and the entire time complained about having to be there with "the old people." I wonder what SHE would have said to the "irrelevant" comment....Best of luck to you in whatever you do - Take Care
KathyD
Brenda Chance <[EMAIL PROTECTED]> wrote:
Brenda Chance <[EMAIL PROTECTED]> wrote:
My prayers are with you. Stick to your guns. What does an orthopedic
surgeon know about medicare a any way?
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Debbie Settle [mailto:[EMAIL PROTECTED]
Sent: Wednesday, November 19, 2003 5:51 PM
To: [EMAIL PROTECTED]
Subject: RE: ALJ hearing on Medicare Denials...
My heart goes out to you. God Bless.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
Sherrie A. Diggs
Sent: Wednesday, November 19, 2003 5:38 PM
To: '[EMAIL PROTECTED]'
Subject: ALJ hearing on Medicare Denials...
was horrible.
The so called "Medical Expert" an ancient orthopedic surgeon from
california couldn't understand why
we were rehabing 80 and 90 year old people with multiple diagnoses
including
alzheimers. Even though I explained that one of these "90 year old"
residents had been in the facility within the previous 1-1 1/2 years to
rehab s/p hip fracture to be able to discharge to assisted living in a
functionally independent level, thank you very much, and family
requested to
return to our facility (100 miles from their home town) to rehab again.
I
was unable to explain the resident with the alzheimers diagnosis, who by
the
way had been in our facility for several years prior, I personally knew
on a
day to day basis for 3 years, was functionally independent with only min
to
mod memory & decision making problems prior to a fall and hip fracture--
again the so called expert didn't understand why he received skilled
rehab--
when I attempted to explain the judge declared it "irrelevant"--
Marie we really could have used you yesterday!!!!!!!
Hopefully the judge didn't take the doctor's expert opinion too
seriously if
so I don't think I'll be in long term care much long than the end of the
year---nursing and patient care is more important than as the judge put
it
-- "We must follow the letter of the law young lady not your so called
holistic care"
I said nothing about holistic care... I just asked, if we don't try to
rehab those 80 & 90 year old people with chronic diseases in
exacerbation &
fractures to get them stronger and function again to go home or to an
assisted living environment and Medicare doesn't pay for it, rather than
drop them in a nursing home and forget them -- what are we to do?????
I love Geriatrics and long term care, of the 8 1/2 years I have been a
RN
this is what I have done.....
but as of yesterday my heart is breaking because of our government and
our
laws for the people I love most and the profession I love most..........
Sherrie Diggs,RN,ADON
Medicare Coordinator
Parks Methodist Retirement Village
111 Parks Village Dr.
Odessa, Tx 79765
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The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
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The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
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