After making some calls, a couple things were clarified:
- Denise is not being moved today. It's on the horizon, though, and the case manager is trying to see if there's a bed at the skilled nursing facility. If there's no bed, she just stays at the hospital.
- The Foothill Nursing and Rehabilitation Center is the only SNF in the medical group's network that can handle patients on TPN. So there are no other choices. Reading comments to Saturday's post, I've got concerns, but in checking their ratings & violations, I'm encouraged by recent improvement (or is it just that the 2005 stats haven't been tabulated & posted yet?). I'm going to try to get a visit/tour as soon as I'm done typing this to try & check things out for myself.
- If Denise were to stay at home, we'd have to have a nurse come to the home to do the TPN IV, blood tests, insulin, etc. According to Denise's case manager from her medical group, we're allowed 100 visits with a $15 copay per visit. Those 100 visits would get used up pretty fast.
- In the SNF, in general, there is no copay for the first 20 days, then there is a $50 per day copay beyond that. Again, that's just in general. Of course, PacifiCare's computers are still down, so they can't tell me anything about Denise's specific copay arrangement at this facility.
0 comments:
Post a Comment