My father has a relatively rare neurogenerative disorder called Multiple Systems Atrophy-Parkinsonian type. It affects autonomic system functioning (sudden drops in blood pressure, fainting, dizziness, poor balance) in addition to the Parkinsonian symptoms of problems initiating movement and muscle rigidity. He fell and broke his hip recently and got hip replacement surgery (he couldn’t get this before, surgeons said too risky).
They said they are cutting off benefits after 9 days in (apparently hip surgery gets you 7-10 days) but the problem is that:
the MSA and Parkinson’s symptoms make walking very difficult and progress much slower than if this was a standard hip replacement. Due to post-surgery delirium and transfer before a 3-day holiday, he got a late start to physical therapy – about 7 days later. There are very few supports – no family members in a 1000 mile radius other than him and his wife. I’m his daughter, an only child, and live 2000+ miles away and can’t leave work for weeks (I don’t qualify for FMLA yet). This leaves my 75 year old mother to care for him.
He needs to stay long enough to build up his strength as he cannot currently get up from bed, wheelchair or toilet. The nursing facility said it would be another 4-6 weeks and Medicare is trying to discharge him now!
What can I add to the letter or do otherwise to increase the likelihood they will accept this 2nd appeal?
Thank you – the situation is bad enough without them kicking him out so soon.
submitted by /u/XahKafor
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My father has a relatively rare neurogenerative disorder called Multiple Systems Atrophy-Parkinsonian type. It affects autonomic system functioning (sudden drops in blood pressure, fainting, dizziness, poor balance) in addition to the Parkinsonian symptoms of problems initiating movement and muscle rigidity. He fell and broke his hip recently and got hip replacement surgery (he couldn’t get this before, surgeons said too risky). They said they are cutting off benefits after 9 days in (apparently hip surgery gets you 7-10 days) but the problem is that:
the MSA and Parkinson’s symptoms make walking very difficult and progress much slower than if this was a standard hip replacement. Due to post-surgery delirium and transfer before a 3-day holiday, he got a late start to physical therapy – about 7 days later. There are very few supports – no family members in a 1000 mile radius other than him and his wife. I’m his daughter, an only child, and live 2000+ miles away and can’t leave work for weeks (I don’t qualify for FMLA yet). This leaves my 75 year old mother to care for him.
He needs to stay long enough to build up his strength as he cannot currently get up from bed, wheelchair or toilet. The nursing facility said it would be another 4-6 weeks and Medicare is trying to discharge him now! What can I add to the letter or do otherwise to increase the likelihood they will accept this 2nd appeal? Thank you – the situation is bad enough without them kicking him out so soon.
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