Nurse Brian|Healthcare Insider
Region: US
Monday 30 March 2026 13:46:56 GMT
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DodoJo2024 :
The co-pay is too much for a lot of people, $200+ per day, so saying Medicare only pays for 20 days is accurate for them, and many people leave because of that
2026-03-30 22:16:48
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Ally :
We kept filing appeals and they always were approved
2026-03-30 17:45:59
11
K :
well, you have to meet Medicare skilled criteria for one. That is dependent on how many days you remain skilled for and clinical indications for a skilled stay is very minimal so unless you have IVs or some critical occurrence is happening, likely you won’t be sealed for skilled nursing needs and probably just mostly therapeutic needs and if your menace assist or even stand standby or contact artist assist, you probably aren’t meaning skilled criteria either. Medicare does not consider or look at or include their criteria in your own home environment, issues, or lack of support issues or dynamics of family or circumstance it’s only purely going to look at. Can you be managed from an outpatient perspective and is another week going to make a marginal difference in your abilities..
2026-04-17 11:44:23
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cathyhambick229 :
r u stuck with the bill while the appeal is going on if they still deny it
2026-04-01 16:59:03
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Robert :
Include advantage plans???
2026-03-31 00:22:16
1
Pinkfink❌️ :
Appeals go up to level 5. Use the JIMMO STANDARD in your appeals
2026-05-09 23:59:43
1
judi81 :
WHERE is a save button?
2026-03-30 22:37:58
2
user3200839230185 :
Medicare Advantage stopped paying at 10 days even with progress. Healthcare doesn’t want to pay!!!
2026-03-31 10:02:55
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irenebunnell :
Always appeal. Former nurse case manager here. When I would let patients know that the doctor felt they were ready for discharge, I always let the patient know how to appeal. Always appeal!
2026-03-30 23:20:59
9
Sheila :
I’ve worked in SNF in rehab for 25 years. Most people want to leave at 20 days because of the co pay. Facilities love keeping people for the whole time. Now, manage care Will want the patient out ASAP. Many patients appeal some win some lose. That’s beyond the facility unless the patient wants to pay privately.
2026-03-31 03:40:55
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genXstasy :
guess what gets my loved ones elite care: the first thing i do is let the hospital admin and CNO know i used to prepare firms for jcaho audits! 😂 anyway, i am going to buy your entire suite of guides. thanks for the level-up. 🥰🥰🥰🥰
2026-03-31 01:45:01
3
Guadalupe Nickolas :
My mom is having total knee replacement orthopedic says that she can’t say in a snif because this surgery got reclassified and she can only sty the night. What can I say to get her a rehab
2026-03-31 04:27:38
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Karen Cat186 :
I wish I knew this when my dad was admitted to rehab and then coverage “ended” about 2 weeks later. They even started the clock when he got to the rehab facility on a Friday night but his rehab did not start until Monday (plus he had no rehab on weekends). I wish I’d known this because then we had to transition to self pay for the remainder of his life. I think he gave up when they told him he no longer qualified for rehab.
2026-03-30 19:16:09
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duby :
thanks for all the information
2026-04-02 16:18:49
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wombat :
You are so right.
2026-04-04 23:41:28
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Amy Hannon :
Always appeal!!!!
2026-03-31 23:01:32
1
Angie Whitman Krug :
Great advice!
2026-04-01 14:40:42
1
MaMa69 :
i need you in my life!
2026-03-31 13:04:13
1
carlamarie9017 :
Co-pay $200.00 a day that's ridiculous.
2026-03-31 00:08:55
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yoho9974 :
Great work!!!
2026-03-30 15:23:41
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AngB :
thank you for the info
2026-03-30 22:39:38
1
Tik Tok :
Thank y you for all your informative videos 🙏can you make videos for health insurance specialty workers comp insurance .
2026-03-31 04:51:26
1
primarypractice :
If a patient is in a IRF and is billed for daily doctor visits , shouldn’t those visits coded as “observation and examination” include in person face to face visits with the patient?
2026-04-05 17:10:03
1
Jennifer Horton :
You are 💯 correct! I work in activities at a SNF that includes rehab. you do have to pay a copay but you have 100 days a year.
2026-04-01 09:43:01
1
kaykay :
At this level of care, Medicare Advantage plans are a problem compared to Traditional Medicare. You do have to be aware of expensive copays at day 21.
2026-04-01 07:37:05
1
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