Nursing home won’t let me go home

[MACKTEXAS]

That refers to losing Medicare in totality. It doesn't address whether they left AMA.

Sorry, no. - - - " The implied threat is that the residents will have to pay out-of-pocket for these days in the SNF. These statements are not true." It is specifically ABOUT against medical advice.

Edited to add:

"The AMA cannot verify or provide guidance on coverage for private payers. However, there is no evidence that any payer, including Medicare, denies coverage solely because a patient leaves against medical advice."

From AMA

 

[Della]

I'd love to have the right to be called an Oxford Scholar.

Me too, Hearlady! I'm not sure in Pepper's case, but often when an American goes to Oxford it means they went with a Rhodes Scholarship:

AI says: Being a Rhodes Scholar means you are one of the world's most outstanding young leaders, selected for a fully-funded postgraduate study program at the University of Oxford for two to three years, covering tuition, living expenses, and travel, based on exceptional academic ability, character, leadership potential, and commitment to service and the common good. It signifies recognition as a future global leader in your field, joining a prestigious, lifelong international network.

No matter what you did before or after, to me, that is quite an achievement.

To be honest, I'm impressed with all college degrees, because I didn't have the discipline to go the distance.

 

[smiley]

Isn't USA classified as a democracy?? - then if so no one can stop you going back home unless you are displaying clear signs of being a raving lunatic??

 

[gruntlabor]

I'm sorry for laughing... but Oxford scholar, that really means nothing....

I understand that one of our recent presidents was an Oxford scholar, and I believe everything you guys say, so Pepper must be one too.

 

[Della]

I understand that one of our recent presidents was an Oxford scholar, and I believe everything you guys say, so Pepper must be one too.

Yep!
Here's some famous Rhodes Scholars:

1. Edwin Hubble
2. Dean Rusk
3. Lord Howard Florey
4. James William Fulbright
5. Bill Bradley
6. Bill Clinton
7. Strobe Talbott
8. George Stephanopoulos
9. Kris Kristofferson
10. Pepper
11. Naomi Wolf
12. Cory A. Booker
13. Randal Pinkett
14. Pete Buttigieg
15. Ronan Farrow

 

[Amanda76]

I truly understand why she wants to get out and go home.

In my knowlege, Nursing Home is not a pleasant place to stay.

I visited him every day spending for about one and 1/2 hours depending on my other schedule. One of staff asked me to bring a good shirt and I brought his most favorite shirt the next day, but when I went following day, the shirt was gone replacing a worn reddish shirt. Another instance, one of staff admonished him very harshly for something he's done that happened very in front of me. She scolded him, 'Listen to me!' in her tone. My late husband is never rebellious, rather nice and friendly person. I was pretty shocked to see it.

Another instance, a staff did not clean-up his waste and asked me to wait outside his room.
He lost his capacity for due to serious illness, his cancer spread most of his body.

On the otherhand, some of immigrants were nice to him.

All meals also were appetizing and I ate some, because of his loss of appetite.

The Nursing Home he stayed was one of reputable nursing homes in this region where I live.

 

[smiley]

Humans often seem to have a difficult time maintaining human dignity for themselves besides for others - it's an old pastime that some churches seemed to demonstrate well once upon a time?

 

[CallMeKate]

Yep!
Here's some famous Rhodes Scholars:

Thank you for the smile, @Della . Heads up that when our Pepper is feeling spunky again, she may have an issue with being way down there at #10.

 

[Kaila]

I thought that comment was about another one yesterday that got removed, who said some nonsense. MarciKS responded to that.

Yes!
The incident had nothing to do with long term member, Marci.

The intruder was removed from the site, yesterday.

 

[Kaila]

Thinking of you!! @Pepper
During yesterday evening and overnight, and today, Friday!

 

[astralcat]

This thread has taken a turn and become somewhat absurd. The original post was because a member is receiving care in a nursing facility and would like to be released so she can go home. Now all of a sudden, being a scholar has entered the picture as if that has any bearing on the issue. There are many scholars on this site and stating you are a scholar seems to imply you are a step above everyone and should be given special privileges. I was interested to see the outcome of this post but will now give it a swerve before it becomes too polarized . Best of luck to you Pepper.

 

[Ted01]

This thread has taken a turn and become somewhat absurd. The original post was because a member is receiving care in a nursing facility and would like to be released so she can go home. Now all of a sudden, being a scholar has entered the picture as if that has any bearing on the issue. There are many scholars on this site and stating you are a scholar seems to imply you are a step above everyone and should be given special privileges. I was interested to see the outcome of this post but will now give it a swerve before it becomes too polarized . Best of luck to you Pepper.

I'm hoping for the same... the conclusion of the story of @Pepper going home and renewing her journey.
I don't care much for the "scholar tangent" either... .

(but whatever folks want to talk about is their business).

 

[MarciKS]

We had some bots here yesterday that were promptly removed, so their spamming comments were removed. Marci just happened to have the next comment... wrong place, wrong time, eh, @MarciKS ?

oh no she was in here at the same time. she was talking about the bot not me lol!

 

[MarciKS]

I hope she made it home or was able to call one of those information lines and get some help. She's not in a good situation at all. I worry about her.

 

[gruntlabor]

Humans often seem to have a difficult time maintaining human dignity for themselves besides for others - it's an old pastime that some churches seemed to demonstrate well once upon a time?

And now. And so it goes.

 

[gruntlabor]

This thread has taken a turn and become somewhat absurd. The original post was because a member is receiving care in a nursing facility and would like to be released so she can go home. Now all of a sudden, being a scholar has entered the picture as if that has any bearing on the issue. There are many scholars on this site and stating you are a scholar seems to imply you are a step above everyone and should be given special privileges. I was interested to see the outcome of this post but will now give it a swerve before it becomes too polarized . Best of luck to you Pepper.

OFF TOPIC:
When a member tells me that I'm off topic and they don't like it, I figure I have a good chance of being reported. I don't like being reprimanded by Matrix, so goodbye folks, see you in another thread.

 

[StarSong]

@Pepper... Where are you?

 

[Della]

This thread has taken a turn and become somewhat absurd. The original post was because a member is receiving care in a nursing facility and would like to be released so she can go home. Now all of a sudden, being a scholar has entered the picture as if that has any bearing on the issue. There are many scholars on this site and stating you are a scholar seems to imply you are a step above everyone and should be given special privileges. I was interested to see the outcome of this post but will now give it a swerve before it becomes too polarized . Best of luck to you Pepper.

Not one single person stated that they were a scholar. Not one. I'm afraid I was the person who started what you call a tangent.

I was just giving Pepper a bit of a pep talk. Hoping to maybe help with what she was facing today. So I reminded her that she was a an Oxford scholar, something I found out about her long ago and was impressed with. It is not uncommon to remind someone who is facing a challenge that they are strong and smart.

You just keep saying, "Best of luck" if that's how you prefer to encourage her and I'll go somewhere else and let you have this thread just the way you want it.

 

[Aunt Bea]

“Why can't we all just get along?”
- Rodney King

 

[hearlady]

It feels like deja vu when wondering if no word from @Pepper is because she's either busy settling in at home or she is mad as a hornet in the nursing home.

Kris Kristofferson? Huh.

 

[Jules]

@Pepper, sending you good vibes, no matter where you are today. Keep getting stronger.

 

[TeePee]

I don't understand the part in bold. If, according to the doctor and the nursing home, the patient needed nursing home care, and the patient spent time in the home getting that care, then why wouldn't insurance be liable for those days, even if they checked themselves out against medical advice?

You are right Mack Texas, I was wrong. I was always told that after having worked in the hospital for 15 years and nursing homes for 33 years.

After having Googled it, it says...Insurance remains liable for nursing home care up to the point a patient leaves AMA because coverage is based on medical necessity for services already rendered, not on the matter of discharge. Leaving AMA is a common myth used to scare patients, but it does not void insurance contracts or legally negate payment for care received.
I guess I've been duped all of the years just like some patients have been duped. Thanks for the correction.

 

[Medusa]

Poor, @Pepper. She's had a helluva rough time lately.

I can't pinpoint a specific one, but I've heard about disturbing incidents involving nursing homes holding onto people, as well. It's unsettling.

The thing is, nobody, outside a prison/jail setting, should be held against their will (outside extreme medical emergency situations, of course). She's an adult. If she wants to go home, she should be able to go home. They can sign her out AMA, if necessary, giving her all the cautions about her decision, but ultimately it should be her decision.

 

[MACKTEXAS]

You are right Mack Texas, I was wrong. I was always told that after having worked in the hospital for 15 years and nursing homes for 33 years.

After having Googled it, it says...Insurance remains liable for nursing home care up to the point a patient leaves AMA because coverage is based on medical necessity for services already rendered, not on the matter of discharge. Leaving AMA is a common myth used to scare patients, but it does not void insurance contracts or legally negate payment for care received.
I guess I've been duped all of the years just like some patients have been duped. Thanks for the correction.

Thank you for your thoughtful reply and taking the time to look into this, TeePee. It would be horrible If we could never leave a place once we go in.

 

[TeePee]

I read it and requested clarity.

edited to add:
"This Alert stems from two calls in two days reporting that SNFs have told residents that if they leave – “against medical advice” or “before 20 days” – they will lose Medicare coverage. The implied threat is that the residents will have to pay out-of-pocket for these days in the SNF. These statements are not true."
Source: MedicareAdvocacy.org

I don't understand the part in bold. If, according to the doctor and the nursing home, the patient needed nursing home care, and the patient spent time in the home getting that care, then why wouldn't insurance be liable for those days, even if they checked themselves out against medical advice?

Another thing that makes me mad, is that these medical facilities get by with giving patients this false information. I've heard them tell patients that many a time. I don't know how they get by with that.