My Medicare days ran out while I was receiving physical therapy for paralysis from the waist down. The facility transferred me to their long care unit, to sit out the 60 days needed to replenish my 100 days, which are up soon. Someone is telling me that I might not get a restart to my physical therapy, because I do not have a new diagnosis.
Does anyone have any knowledge or personal experience in this area? Thanks in advance.
I am aware though that if a doctor states that a patient is in need of further therapy and therapy will benefit him/her, Medicare MAY consider paying for an extension of therapy. If your paralysis was of a recent event, that may be the case.
I don't know who the "someone" is, but you might want to contact Medicare for advice straight from the horse's mouth, or ask the physician who scripted for you to get PT. His/her staff may have been involved in a situation like this before.
I'm concerned though about letting the 100 day extension run out. The first SNF we dealt with tried to pull that with my mother, and once we figured out what they were doing we took her home. They just wanted more Medicare money, as her orthopedic doctor had said she was ready for home - it was the SNF that wanted her to stay and run out on her 100 days.
Who at the facility told you that the 100 day period is "replenished"?