I have a person coming in from home within her 30 days of d/c from hospital with a
qualified stay. she has g tube and trach. Family insist on d/c to home but were unable
to meet her needs. Her common working file shows 80/20. She also has insurance. My
question is: if she meets medicare guidelines and insurance doesn't pay for ltc, can I
bill medicare. When I called the insurance company they said they would pay for 5 days
and then re eval. I would like to bill them only for the co pay after the first 20.
Hope this works cuz she in the building......
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