PEDotM- FAIL
Mar. 31st, 2015 07:41 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
monkey5sYeah, that didn't work out so well. Maybe next month, it starts tomorrow, so anything's possible!
Today my bro was supposed to go to the Wound Clinic from the nursing home, for progress report on his leg sores and to see if the MRSA was gone yet. I knew it was a horribly early appointment time, s-i-l would have to pick him up at 7am to make it there on time. So I waited until after 4 to call her.
They were back at the nursing home. She asked if I wanted the day's good news or bad news first. I opted for the bad news. And it turns out insurance has decided that he's rehabbed enough for them, they stop paying for his nursing home as of today- it seems the MRSA is just not a big deal to them. The nursing home was horrified, they considered him about halfway to their physical therapy goal for him. Also, they said they have never had such short notice before from an insurer. And that they would protest, but they have never yet won a case with insurance companies.
So the bad news was both shocking and kind of horrifying.
The good news, such as it is, is that the Wound Clinic said his legs look much better (which... duh). But no, they weren't going to test for the MRSA, that's in the blood tests the nursing home was doing, and the results of the last one weren't back yet. Of course, this questionable "good" news was belayed by the fact that when they got there, the clinic had no record of them making the appointment. But they wouldreluctantly graciously fit them in. Uh huh.
And then someone was needing to talk to them there at the nursing home, so I hung up.
When I talked to my bro later this evening, he was clearly still in shock over losing his PT team so abruptly. Then I called my s-i-l, and she's still steamed at how things are going. Should be a horrible couple of days for them. Hope everyone survives intact.
Today my bro was supposed to go to the Wound Clinic from the nursing home, for progress report on his leg sores and to see if the MRSA was gone yet. I knew it was a horribly early appointment time, s-i-l would have to pick him up at 7am to make it there on time. So I waited until after 4 to call her.
They were back at the nursing home. She asked if I wanted the day's good news or bad news first. I opted for the bad news. And it turns out insurance has decided that he's rehabbed enough for them, they stop paying for his nursing home as of today- it seems the MRSA is just not a big deal to them. The nursing home was horrified, they considered him about halfway to their physical therapy goal for him. Also, they said they have never had such short notice before from an insurer. And that they would protest, but they have never yet won a case with insurance companies.
So the bad news was both shocking and kind of horrifying.
The good news, such as it is, is that the Wound Clinic said his legs look much better (which... duh). But no, they weren't going to test for the MRSA, that's in the blood tests the nursing home was doing, and the results of the last one weren't back yet. Of course, this questionable "good" news was belayed by the fact that when they got there, the clinic had no record of them making the appointment. But they would
And then someone was needing to talk to them there at the nursing home, so I hung up.
When I talked to my bro later this evening, he was clearly still in shock over losing his PT team so abruptly. Then I called my s-i-l, and she's still steamed at how things are going. Should be a horrible couple of days for them. Hope everyone survives intact.
no subject
Date: 2015-04-01 02:31 pm (UTC)no subject
Date: 2015-04-01 04:32 pm (UTC)Right now things are so fraught I am just hoping we can all get through it (and I am completely useless to them, my own disability is so bad I can't help with ANYTHING).
And to clarify, the nursing home was, indeed, going to protest, they just wanted bro to know they had never yet succeeded in such a challenge.
no subject
Date: 2015-04-01 04:49 pm (UTC)Not being able to help is it's own challenge. *hugs you*
no subject
Date: 2015-04-01 10:18 pm (UTC)