My questions are the following: My
mother went to a nursing home and had medical and AARP: which they took
her in without question. They also sent her within the week to a mental
hospital which now makes sense for they wanted to generate the skilled
nursing 100 days while she also was pending for Medicaid. Dec to April
they sent her twice to a hospital; in April , due to incomplete
paperwork, she was denied medicaid; but her private insurance was billed
and paid due to her hospital stays. April the nursing home reapplied
which she was approved in June.
Now here is my question: Medicaid
noted on the approval they could "Retro" the billing (isn't this to only
be 3 months max?) The nursing home actually went back all the way to
Dec. eventhough they were paid already by medicaid/AARP. With the
paperwork from medicaid they told us the monthly payment would be
$1070.00 each month and they went back retro this fee to Dec 2009 and
are now trying to collect this amount from her family eventhough private
insurance had already paid; she was denied in April and started the
application over. This does not seem fair? They are forcing us to
sign a promisory note for the balance due on her account becuase they
"Retro" the monthly. This means, the nursing home got paid first by
private insurance, 2nd billed medicaid, and now want us to also pay the
medicaid obligation monthly fee.
What should we do? I have
contatacted the nursing home office, their corp office and Medicaid who
doesn't seen to understant the were billied 10K which was already paid
by my mom's private insurances; they don't seem to want to bother even
when I sent them a 20 page report with rejunggled billing statements.
Your help would be most appeciated, Thanks you!