Here comes the Medicare shuffle

Mom has been in the hospital for 8 days now and her pneumonia is almost gone. She’s still having trouble swallowing so she hasn’t eaten since last Thursday, over 9 days ago. It looks like she had a minor stroke at some point which could have caused the swallowing problem, hence the pneumonia.

We have a meeting this afternoon with the hospital case worker and I know what it’s about. We went through a similar meeting with the hospital when Dad became ill. The hospital will say the initial illness has been cured so they have to discharge the patient even though there are other issues. In Mom’s case, she can’t eat anything but since the pneumonia is gone the hospital can’t bill Medicare any more. Of course they discharge the patient ASAP so they’re not on the hook for the bills. When the patient enters a new facility for rehab, Medicare kicks in again. You wonder why the hospital doesn’t keep the patient until all problems are resolved? I do see their point that the patient needs more attention then they get in the hospital and special care so a rehab facility is a better place for her.

In my Dad’s case, they just discharged him and said they were sending him to a rehab facility. We didn’t know anything about the procedures and the reasoning so went along with them. It turns out they put him in a horrible facility where they yelled at him when he tried to get out of bed. He was weak and disoriented and they treated him like a piece of meat. It was horrible.

After about 10 days they told us they were discharging him. In other terms, Medicare stopped paying for his care. We had to find another place for him in less than 48 hours and we didn’t know what to do. Here’s a man with stage 4 stomach cancer without a place to go to be cared for.

Later we discovered that a hospital or rehab facility can not discharge a patient without providing us 3 options. If we don’t like any of the options they have to keep the patient until they provide us an acceptable alternative. I’m sure they’re going to tell us today that Mom will soon be discharged and will be moving to a rehab facility before returning home.

Wish me luck!