Re: Need help or ideas-need to vent

[Guest guest]

First let me start out by saying I understand your concerns. I can explain a

little about why the insurance is pushing you to return home. Studies have shown

that the longer patients remain in the hospital or a rehab, the longer the

recovery time.

We do not realize what a huge difference there is between a care facility and

the home environment.

A care faculty cooks, cleans, serves you meals, provides your medication on

schedule and does many of the little daily living skills we do at home.

The longer a person remains in that type of environment, the more difficult it

is to readjust to returning home where there are not the same amount of people

readily available to help. There is a higher chance of re-hospitalization for

some patients. This delays recovery even further.

I don't know what brought you to rehab. Is it related to the asthma?

If not, then the insurance company is doubtfully going to take it into

consideration.

Hospitals/rehabs can only keep a patient as long as medically necessary. They

have to demonstrate that they are actively treating the condition. also they

must show that the level of care is the least restrictive one to treat that

condition at the time.

Sometimes doctors can " buy " you a little more time by showing that a therapy or

treatment that can only be done in the facility is necessary for recovery. In

addition, the doctor would have to show that the frequency of treatment could

not achieved at home.

The facility has the right to discharge a patient that is stabilized enough that

treatment can be continued in the community (in home, out patient). But you

also have the right to have in home services that are demeaned necessary for

your recovery. Assuming you live the US, most insurance cover in-home physical

therapy and a visiting nurse if appropriate.

Home health aides and homemakers are usually not covered.

Make sure you talk to the medical social worker about what is the plan for in

home follow up services.

It is worth your doctor trying to get you a little longer stay, but honestly it

does not sound likely since he already got you a few more days.

The only other thing I can suggest is to get a workman's comp lawyer to help you

ensure you get all the treatment you need to bring you back to a functional

level.

I wish I could tell you something more helpful. Keep us updated on how you are

managing.

Gentle hugs, Tami

> Christa wrote:

> I'm currently in a Rehab right now. Today the Physical Therapist and I will go

to my home for evaluation and Worker Comp want me to be discharge tomorrow.