How much responsibilty does a skilled nursing facility have in determining medicare elegibilty? My mother was admitted into a skilled nursing facility as a medicare patient. The admissions person checked out her medical record and assured us that her stay would be covered by medicare. We fronted no money and all the forms indicated medicare would be billed for the stay.
Now we recieve a bill from this facility saying medicare denied the claim because only 54 days had past since her last stay in an acute care facility not the required 60. I feel that the admissions person should have done a better job of qualifying my mother before admitting her as a medicare patient.