The discharge order is given by the doctor, who is informed from PT, OT and Speech Therapy (if needed), as to your progress. When they deem you fit enough for discharge (under the guidelines of your insurance), you are discharged home or to a care facility.
These's not much room for your negotiation after the medical and insurance sides have made their decisions.
Your appeal would probably be through your insurance company. They are notorious for going the cheap route.
Hi..I just went through this with my honey. He has Medicare only. Based on what I found out, before he was discharged, Medicare will only pay 20 days at 100%. Starting the 21st day it drops to 80%. As long as ordered by a doctor and we paid the 20% or if we were private pay they would have kept my honey. We could not afford the $150.00 per day that would have been charged starting the 21st day, therefore my honey was discharged to home and home nursing/rehab. Though we received information on how dispute the discharge, we did not. I am not sure what private insurance company's guidelines are relating to discharge from a rehab so unable to offer any info or advice on that count.
When they deem you fit enough for discharge (under the guidelines of your insurance), you are discharged home or to a care facility.
These's not much room for your negotiation after the medical and insurance sides have made their decisions.
Your appeal would probably be through your insurance company. They are notorious for going the cheap route.
what sort of insurance is it or is it medi-care or Medicaid(m-cal)
sorry I don't have concrete answers for you. but just trying to help.
usually a persons coverage has limits unless documentation from the physician states patient requires more care.