Medicare Watch Newsletter

Here is some interesting advise from the Medicare Watch Newsletter regarding a person's rights upon admission when a skilled nursing facility says that Original Medicare will not pay for your care will depend on whether the facility will agree to admit you anyway.

If the facility will NOT admit you because it believes that Medicare will NOT pay, you MUST find another facility.

If the facility will admit you but believes that you do not qualify for Medicare coverage, you do have the right to ask the facility to bill Medicare anyway. This is called DEMAND BILLING.

When the facility believes that Medicare will not cover your care because your health doesn't require the need for the skilled facility or you only need custodial care or non medical care, the facility must give you either a "Skilled Nursing Facility Advance Beneficiary Notice" or a form attached to a denial letter.

For more useful info go to
www.medicareinteractive.com