What You Can Do As A Medicare Patient To Not Get Discharged From a Hospital Early?

By John Harvey

Maybe you have a person in your family, who is in hospital and were notified that the person will be discharged from the hospital very soon. What do you do? Chances are that you don't know whether assisted living, home health care or a nursing home would be the best choice, nor would have expected that the person you know would get discharged so soon.

About this time you begin to scramble about, looking for the right thing to do. Most likely the hospital will provide you a list of rehab clinics, but they won't make the decision for you. You might feel as if you are being rushed along, and therefore you find it necessary to make a quick decision. Fortunately, you don't have to rush at all.

Medicare is a health insurance plan that is sanctioned by the government. This means that Congress is actually putting pressure on them. One of the best ways for them to save money is by discharging patients way too early. Hospitals are required to provide a Notice of Noncoverage. This notice indicates that a hospital MUST give you three days of warning before a patient can be discharged from the hospital.

So if the hospital has not provided you this notice, you need to make sure that they do. They might say no at first, but so long as you insist, they should relent and provide you that time. Keep in mind that you are here because someone you love is in the hospital. It is up to you to make sure that they get the care they need, and you need to make sure you have enough time to come to a real decision.

It's going to become clear to you soon enough that hospitals try to discharge their Medicare patients as soon as possible. This has become a growing trend over the past forty years. Seniors have had hospital visits that dropped in time from fourteen days to six days. It will keep dropping if nothing is done.

Hospitals feel they have to do it because of the fixed fee system that medicare enforces. No matter what condition a patient is in, the hospital will be charged the same fee. Now if the patient's stay is much shorter, then the hospital will actually make more money.

It's not about care, it's all about numbers and money. What you need to know is that when you admit into a hospital you also sign a paper with your rights as a patient, which keeps the hospital from discharging you too early. So you need to make a copy of it. It's called "An Important Message From Medicare -- Your Rights While You Are A Medicare Hospital Patient."

Within those rights there is the right to receive the "Notice of Non-coverage", which means that the hospital cannot discharge you before 3 days after the notice, nor can they charge you for it. So unless you have received that note, you can stay in the hospital under your Medicare plan.

If you wish, you can appeal the hospital's decision simply by writing or calling the PRO in charge of filing the appeals for Medicare. Now you want to make sure that you do this rather quickly because these claims take a while to process. Know your rights, and don't feel bad about complaining! - 29970

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