Posted on 10/20/2012 8:51:52 PM PDT by LucyT
Today while working my shift in the emergency room, an old lady was brought in very sick and in fact near death. I did my usual workup and evaluation and attempted to administer life saving treatment. It was my plan to admit this woman to the hospital. I found out a little later that this same woman had been a patient here just slightly more than 2 weeks ago with a DIFFERENT DIAGNOSIS. I was told that if this woman was admitted, the hospital would not be paid.
The new Medicare rule now is that if the same Medicare patient is re-admitted to the hospital within 30 days, the hospital will not be paid. When they first started this nonsense they said this only applied to patients with the same diagnosis. Now they have "expanded" the rule to include re-admissions for any reason.
So if you're in the hospital for pneumonia, and 3 weeks later, you break your leg.......too bad. Medicare will not pay the hospital to fix your leg.
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(Excerpt) Read more at grouchatrighttruth.blogspot.com ...
Are prisons reimbursed if they admit someone to the infirmary more than once a month or this rule just for private citizens?
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Bump
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Ping.
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” - - - The new Medicare rule now is that if the same Medicare patient is re-admitted to the hospital within 30 days, the hospital will not be paid.”
Duh, it Obama putting profit above people?
Obama said in 2009 “This is not the time for profits!” Up until now I really thought that he meant it. Go figure!
I had no idea. Thanks for the article.

I’m in the prison business but not the healthcare part..
We used to have state employees running it but it’s been contracted cost-cutters here for close to 20 years.
If you go to prison your best bet is to stay healthy and not require care...
They probably bid the contracts on x dolllars per inmate with some provisions for certain exceptions which cut directly into the contractor’s profit.
Not much different than your and my healthcare plans, but free citizens can raise more hell when abused.
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Sarah was right.
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so if we avoid gettin’ whacked by an Islamikazi, or Iranians don’’t nuke when we are 3 yrs old and actually make to old age the Dumbass healthcare nazis are going to finish us off. WTF over. When will this ship be righted cuz’ we are riding with the bottom up right now.
Mark
And they knew she was right.
I am not for the Affordable Care Act (at all), but portions of this article are not true. The reimbursement drops 1% the first year, 2% the second year and so on. They still get reimbursed, just not at the same rate. Which will in turn wind up causing death panels because providers don’t like to take Medicaid patients anyway because the reimbursement rates are already bottom dollar.
All over America, liberals are covering their ears and making noise so they don’t have to hear this.
A young lady relative of mine is pregnant — maybe 5 1/2 months or so. Seems the hospital did every test imaginable on the unborn baby to find something wrong — so they could advise her to abort the baby. Unfortunately for Obamacare, everything came up fine. God help us.
I should add the the mother is in considerable pain — they don’t know why. Any prayers for (their) well being would be appreciated! I was asked not to write the mother’s name here but please call her “E”. Thank you to whomever!
Also meant to add that some one did come in her hospital room once — she doesn’t know who — and asked “Do you want to abort the baby?”
How tragic. I join in urgent, earnest prayer for the baby and for her!
This is definitely part of the diabolical “Obamacare” Act.
Thank you very much. I won’t be able to thank each prayer warrior on FR, at least not right away. Tomorrow at church I will try to say a prayer thanking each, if not by name.
The mother E also has serious heart problems and is undergoing a bitter dissolution, no money, etc. Four other small children live with her; two older ones with us.
The hospital is a very well respected hospital in a very conservative area (area will go 58% or 59% Republican).
Thank you all very much!!!!
This lady “E” is as pro-life as you can get. No, she doesn’t post on pro-life message boards or stand outside Planned Parenthood with a sign. But no baby of hers will ever be disposed of at the pre-birth stage!
I’d heard that if you’re re-admitted with the same symptoms as your original illness, the hospital is fined. How can the hospital be fined if it’s a different diagnosis? Yeah, I know the gubmint can do anything they want. I emailed the link to our DIL who’s an ER nurse for her opinion.
She has our prayers. May God bless her and her family.
Don’t worry the AARP will stop it.... oh wait... they endorsed it
#7- but the taxpayers will pay for their “sex change” operations.
This happened to our family member. The doctor was angry she was readmitted, due to the fine. Then they refused to give her the oxygen she needed (at home) unless she was put in hospice to die. The family went through hell because she couldn’t go back to the hospital and desperately needed oxygen. So she was put in hospice and died within the week.
This is happening, it is meant to kill you to save money. This is how Obama’s gang gets their “free” healthcare.
You get tongue depressor check up care when you are young and healthy, then you are abandoned when old and frail.
Liberals.
This statement isn't quite accurate, because the issue at hand seems to be unrelated of Obamacare and its notorious death panels. In other words, the problem here will not be cured by repealing Obamacare, it so it appears.
Medicare has been chiseling in their payments to patients ("beneficiaries") and physicians, hospitals and other parties rendering services ("providers") for decades, by means of ever-increasing regulations promulgated by the Medicare bureaucracy. Their objective seemingly is cost control. This new no-readmit rule seems to be one of those. Of course, the regulations need not make practical sense, because this is, after all, the federal government who promulgates them and its conractors who dutifully carry them out like good foot soldiers.
I'm wondering if patients and their loved ones will be complaining loudly about this latest such arbitrary dictate, and if so, whether it will be reversed in a new Romney administration. Don't expect AARP to come to the rescue.
the trend continues; it will get more blatant
13 years ago, my mother beat extremely aggressive leukemia in a texas research hospital experimental program. medicare specified a follow-up chemotherapy treatment several weeks later...and sent her home about 6-8 hours after wiping out her immune system.
she had a high fever about 6 hours later, and an ambulance ride back to the hospital - where a staph infection caused organ failure, coma, and eventual death.
because these were ‘medicare says...’ rules that doctors seem to follow no matter what, no one asked us or informed us. i’m no doctor, but sending someone home with no immune system seems foolhardy. clear i’m not qualified to work on a death panel.
Effective Oct. 1,2012 the rule on re-admissions within 30 days is that the hospital will be fined.
Medicare already had rules about how long the patient should stay in the hospital. For example my mom was down to the last 2 days and the hospital was going to discharge her even though she was in a Coma if she didn’t hurry up and die. And the time period for re-admission used to be 3 days.
I encountered these readmit situations in 2006 when my Dad was in the hospital, discharged, and had to be readmitted the next day more than once.
The worst place for a person whose immune system has been compromised is often a hospital. Lots of nasty bugs around.
My mom beat blood poisoning only to contract vancomyacin resistant infection. There was no antibiotic that would be effective. VRE is highly contagious, so they put her in isolation.
All they could do was try to make her comfortable, and the case manager was counting the number of days she had left before she had to be discharged.
BTTT
But an illegal alien can get free treatment both times, and that old lady with pneumonia Nd broken leg has to pay for that illegal.
Bump!
“..vancomyacin resistant infection.”
‘Vanco’ saved my wife’s life 19 years ago. Nothing else could halt the MRSA infection she contracted during surgery to reconstruct a shattered eye orbit. The Dr. told me in confidence that if it didn’t work that there would be nothing they could do and that the infection would eat her brain away in a matter of hours.
The hospital sent her “home” after I received the training on how to infuse vanco via a Hickman cathader that led directly into her heart. We had just purchased an old (1813) house that we were trying to make livable and were living in one room. The rest of the house was totally gutted and under construction. No running water, no toilet except a porta-potty, plus over 60 miles from the hospital! This was in the dead of a bad winter in upstate NY in 1993, temps were -15. The hospital & insurance company (Blue Cross/Blue Shield) did not care about our situation and ordered her out. They had literally sent her ‘home’ to die.
Knowing that our home environment would not be beneficial to her recovery we opted to stay in a motel near the hospital in Albany. Five weeks of 24/7 infusions of ‘vanco’ and a cocktail of other antibiotics saved her life. The antibiotics alone were nearly $10,000 a week, not to mention the cost of a month in the hospital and 11 facial reconstruction surgeries!
It’s really scary to hear that staph has mutated to become resistant to Vancomyacin. It was the last “silver bullet” in the war on MRSA. Glad to hear your mom beat it.
Many will die under 0bamacare.
So, what if you give all of your “stuff” away to your kids and then go on Medicaid? I bet medicaid pays for it. My wife worked as a cytotech for many years and most insurance plans only allowed 1 pap test a year but if you were on medicaid you could get one every week if you wanted. There are numerous examples of this I’m sure.
The re-admission part is true.
Near me, a major hospital has built an annex to house a rehab unit. Now, instead of discharging Medicare patients to the care of their personal physicians, those with lingering health issues are put into the care of the hospital system.
I don’t know the specifics, only that the hospital has found a loophole which keeps the patients from facing the scenario described in this thread.
Local docs are incensed, because they are losing business, yet they understand why the hospital is doing this. My source is a doc who is on the hospital’s board.
AARP, that passive and often active enabler of every foul process and rule a liberal democrat can inflict on the elderly and dying, will abruptly rise from the dead on January 20th to oppose anything Romney tries to do to actually fix the problem.
Expect the homeless and the unemployed to make a magical reappearance on every MSM outlet about the same time.
Prayers for the “E”asing of “E”s, pain, the successful completion of the pregnanc”E”, a health”E” and happ”E” bab”E”, who grows up to be Big Government’s Worst Nightmare!
There is a little rule about the asset shift. You have to wait a certain period of time to go on Medicaid if you, for instance, sign over your house to your children. If the rules aren’t followed, Medicaid will pursue those assets. One of the reasons that Medicaid is so increasingly expensive is that otherwise well off married couples are allowed to divide their assets, wait the time period, and then the one who needs to be in a nursing home goes on Medicaid. That is why taxpayers are being charged through the nose for expensive nursing home care for the well off. People are allowed to conserve their personal assets instead of spending them down, and the taxpayer pays. Watch outside a nursing home for a couple of hours and you will see a visiting spouse drive up in their new luxury car to visit the spouse on Medicaid.
Obama said that they should probably just take the pain pill rather than getting the surgery.
A cost-efficient OD of morphine is hardly being “my brother’s keeper” as Obama likes to boast.
Prayers sent.
BookMark
Thank you, FRiends!
God works in mysterious ways. When this mother was an infant undergoing heart surgery few thought she would make it to child-bearing age, much less have seven pregnancies. I have learned what true pro-life means along the way. Now no one would say she was wise in a practical sense to become pregnant considering the circumstances, but as I say God works in mysterious ways. I will stop stealing Lucyt’s thread.
Meanwhile, neither presidential candidate is against the death panels.
Sorry, I did not make myself clear. Mom beat the blood poisoning, but VRE (vanco resistant) took her down. There was absolutely no other antibiotic that was effective on the culture not even Vanco.
My Dad contacted a fungal infection of the lungs(he already had chronic bronchitis and fibrosus) and Vanco helped him to recover enough to tell the death proponents what his wishes were. He wanted to continue to fight, but agreed to their stipulation that he would not be put back on the ventilator.
However, they banded him with a code purple instead of code yellow. I got that corrected, but it took 3 hrs. In the interim his lung Dr. visited and pulled the Vanco. The nurse told me that taking Vanco too long wasn’t good, and the original course of treatment period was over.
Turns out that was probably a mistake. Lung Dr. read the purple code, and stopped anti biotics based on that. It was 3 days before my Cardio Dr. came back and sorted it all out.
Shortly after, he slipped into coma and died 3 days later.
His lung Dr. is one of those that thinks if a patient is elderly you really should not torture them with treatment. I told him that my Dad served in WWII and was a volunteer firefighter, and volunteer EMT.
Having risked his life on behalf of others on numerous occasions, if he wanted to fight, then I felt that he had more than earned the right to have his wishes honored.
Someday I hope this pulmonologist learns the error of his thinking.
Andrei Bulba, I am so sorry for your loss. No one should be treated that way. I’m praying every night for Romney to win and wipe obamacare off the face of the earth. He said he would and we have to make sure he does.
I just got an email from our DIL (ER nurse) and her take on the link:
“Yep, it’s all true. Now you know why I keep saying it’s all going to fall down around us.
People who are dependent on the medical system will die. There’s no sugar coating that.”
Very scary to face it.
I’m very sorry this happened to your family member and I sympathize with your loss. People had no idea what they were voting for when they supported socialized medicine. They had no idea of the dark side of it, its real cost.
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Back to the thread.
Check out # 46.
Thanks azishot.
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How disgusting is it that we even have to HAVE a discussion like this? The libs have cheapened life by allowing abortions to be commonplace. Now it seems they’re *toughening up* the younger generation so they’re not appalled at seeing how grandma and grandpa are left to die.
When did this happen to your family member?
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