Sunday, December 4, 2011

Why do physical rehabilitation facilities need to know patients' financial information?

My mother is in a retirement community now and is temporarily being transferred to a facility to receive physical therapy for her leg.





This facility is requesting an excessive amount of financial and account information which I feel is unnecessary. She has medicare, tricare, and private insurance, yet they're requesting additional information.





Why do they need to know all of her assets? Legally, can I refuse to disclose this information?|||therapy is expense they want to know who's paying|||Insurance only pays for a limited amount of time (usually a few months) in a rehab facility. Sometimes, patients stay for years, even though their insurance does not pay for that. The rehab place is asking so that they will know if your mother will be able to pay if she stays for longer than the insurance pays.|||Because they want to make sure they get PAID. They might want to try to apply for Medicaid, on her behalf.





You sure can refuse to disclose the information - you can just agree to personally guarantee any uninsured costs. If you refuse to both disclose billing information, AND refuse to personally guarantee any uncovered costs, they can refuse to treat and care for her.|||Sure, you can refuse and they can refuse to take her. In some cases, coverage is not for every dollar of care and they want to make sure they are going to be reimbursed by somebody.|||Generically? For medicaid coverage.



You should ask them why they want the information and what happens if you do not provide it.



Again, generically, it might be that this facility costs $3000 per month and medicaid covers it if you are eligible. If not, your mom pays the $3000 per month. If you refuse, she pays the $3000.



These are things you should know BEFORE you agree to send your mother to this particular place.



***EDIT***



I should point out that medicare and private insurance do NOT usually pay for the all the costs of nursing care...esp. the "housing" part of the care. That comes out of your bank account or from long term care insurance coverage.



unless you are eligible for medicaid.|||They need to know that she or someone in the family can pay the bill if her insurance refuses to do so. If you deny the information to them they may not accept or keep her.

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