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Cmsguest Asked November 2019

Need to terminate SNF. Anyone have experience with this?

I went for rehab at a SNF which was St Peter health partner or affiliate after heart issue (afib) and after 2 weeks on Medicare was told no longer improving, hospice eligible and 6 months to live. So thrown off Medicare and had to private pay. I was placed on oxygen at 4L, but couldn't stand water dripping. Long story short after replacing defective concentrator I asked for PT and Medicare to resume and denied by Medicare, but told I could pay for it. I rehabilitated myself and got out after nearly 4 months. Been living in assisted living past 5 months without oxygen so someone messed up as I ain't dead yet. Think there may be grounds for financial abuse of elderly, misdiagnosis, etc. Anyone have experience getting CMS to do right thing and terminate providers who are abusing patients?

JoAnn29 Nov 2019
Medicare only pays for rehab if its helping. The facilities reports must have shown no progress. At that time patient is usually released. Why did you stay? With oxygen involved, couldn't you have had homecare at the AL?

Yes, this does sound fishy. Have you spoken to Medicare?

Iambe1612 Nov 2019
Sorry to hear that happened to you, but so glad you're better. How is it that you were thrown off Medicare, though? I, and I'm sure others, didn't know Medicare could do that. If at all possible, you should certainly try getting legal advice. They should be able to inform you if yours is a good case or not. Good luck! Best Wishes, and glad you're still here.
Ahmijoy Nov 2019
i think what they mean is that Medicare refused to pay any longer as they had stopped improving. But I agree. An attorney is needed to unravel, and diagnose.

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NeedHelpWithMom Nov 2019
I don’t have an answer but just wanted to tell you that I am glad that you are doing better.

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