By clicking
Talk to a Specialist, you agree to our
Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our
Terms of Use. for information about our privacy practices.
My mother experienced this; we went back to her ortho doctor; he wrote a statement and we delivered it to the rehab facility.
We had also gone back to him b/c a therapist determined that my mother wasn't able to progress. The doctor's letter and our challenge addressed that. He was placed at another facility and my mother got a new therapist, a very compassionate one.
I agree that coding is involved, but so is the doctor.
Why is she unable to put weight on this surgical leg? Does anyone have any idea? If not, I am afraid she will be discharge, in a WC and possible forced to use a wheel chair ongoing. Is she suffering from dementia? How old is she? Are there other conditions as well?
Here's the medicare website giving you links to information you need to appeal this. Call your city or county ombudsman as well. But don't be surprised if they've never heard of it either. Mine towed the "no improvement" line as well until he looked into all the pointers I gave him, consulted a lawyer and then he called back and told me I was right.
https://www.cms.gov/Center/Special-Topic/Jimmo-Center.html
Others may chime in with more info, or please clarify if I haven’t understood the situation correctly.