02/19/2024 5:39:45 PM PST
· 83 of 87 GnuThere
to hinckley buzzard
This is exactly it.
A MCare Advantage company may issue blanket denials for all skilled nursing requests from a hospital on the first request for a patient, or at least refuse a significant percentage (hmm, perhaps a quota so as not to look suspicious?).
They very well know that in the time spent on an appeal or “peer-to-peer” doctor call required, a certain percent of patients will die or get better and go home, thus avoiding any skilled nursing payments. So the hospital eats the extra days, because they get paid by diagnosis code, not for the extra days needed to jump through hoops.
Why now are we seeing numerous articles about Obama and his opinions, is Mooschelle getting ready to run after all?
Or is he just getting more vocal and emboldened during his third term?