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In re M.P.
(SSA Office of Hearings & App. Oct. 11, 1996). ; Clearinghouse Number: 51607
Description
Nursing Home Ordered to Absorb Care Costs Because It Failed to Give Written Notice of Noncoverage by Medicare
Abstract
The administrative law judge (ALJ), on remand from the Appeals
Council, has ordered nursing facility to absorb the cost of
beneficiary’s care because it did not give written notice of
noncoverage. Beneficiary was admitted to nursing home after
hospital treatment for a cerebrovascular accident. For some three
months he stayed in the facility, where he received skilled nursing
and rehabilitation services daily for about three weeks. At the
administrative hearing a doctor testified that patient’s
condition plateaued approximately two months before he was
released, and the ALJ concluded that patient did not require or
receive daily skilled services for most of the stay. About three
weeks before beneficiary’s condition plateaued, nursing
provider told him in person that services beginning a few weeks
later would not be covered by Medicare Part A, but written notice
of noncoverage was not received by beneficiary or his wife. At
issue was who was responsible for the cost of care after
beneficiary’s condition plateaued. The ALJ ordered provider
to absorb the costs of the noncovered services because written
notice was not given to beneficiary and because provider knew or
should have known that the services were not covered.
