In Bingamton, NY my Father was adamitted to the hospital as a 'social admission' for 5 days - now medicare won't pay the bill. The hospital says to appeal the decision (again) they need documents I don't have yet (med records from the hospital say in Oct). My dad has dementia & mom has parkinsons & congestive heart failure - neither is competant to make decisions or sign admission documents. i have been given financial poa's and general poa's - but the healthcare proxy was only verbal. Is there a Statute of Limitations on the appeal process for the status of admission to be changed (once we prove that my parent's were and are not competatnt to handle their affairs) so that medicad will pay for the hospital bill? Sorry - it's complicated.
You have 120 days from the first denial to file an appeal. Additionally, in medicare appeals, attorney's fees are generally paid by medicare, so you should try to seek legal assistance in the appeal. Also, since both are not competent to enter into contracts including granting a medical PoA, you would need to go to court to get court ordered guardianship over them for any future problems.
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