Insurance and Nursing Homes

 

Hi everyone. I'm sure you probably thought I dropped off the face of the earth. Nope, just working crazy amounts of hours out here in the middle of nowhere Kansas.

At the beginning of January our social services director quit. Despite the fact that I made it clear I did not want that job (way too much interaction with other people) they dumped all the responsibilities of the job in my lap. So in addition to medical records, central supply and doing all the scheduling for the nursing department, I was now in charge of new admissions, discharges and jumping through all the government hoops of insurance companies. It's been quite the nightmare because I got very little training and mostly had to figure things out. Which, unfortunately, I'm actually good at. Needless to say, I'm exhausted.

I've learned some very important things during this time. (They did hire a new girl, who seems like she will be very good. I told her I wouldn't just dump everything on her like they did to me, but next week will probably be the last week I'll be involved. Thank God.)

Humana and Aetna are the absolute worst insurance you can have if you need to do a stint in a skilled nursing facility. They will only approve 2 to 5 days to start and you are lucky if they will give you two weeks of Physical Therapy/Occupational Therapy before they kick you out on the street.

Let's say you fall and break something or you go into the hospital for general weakness and confusion. The hospital recommends that you go into a Skilled Nursing Facility for PT/OT for strengthening before you go home. If you have Medicare as your primary insurance and have a secondary insurance this is the ideal situation, even though there is no truly ideal situation. Medicare will pay for 100 days in a rehab center. But, they only pay 100% for the first 20 days. After that, Medicare will pay 80% for the rest of the time and the secondary insurance will pick up the 20% that is left.

Should you need to go into long term care – Medicare won't pay for that. That is where you need Medicaid. But Medicaid is very difficult to get on and you can not have more than $2000 in assets or you won't qualify. Plus, if you are considered “Medicaid pending” meaning, you have applied to be on Medicaid but you haven't been approved, most nursing facilities will not accept you because should you be declined you are now responsible for paying for the time you have been residing there and most places just end up eating the cost because the average cost of staying at a skilled nursing facility is around $10,000 a month.

Don't even get me started on hospice. We have three different hospice companies that come to our facility. I got dragged into a meeting that I didn't even want to go to by one of the hospice representatives. It literally turned into a pseudo flowery sales pitch, trying to see who in our facility was the most likely next target, I mean resident, to go on hospice. Perfectly healthy residents who walk around with their walkers but might not remember who you are even though you meet them every day. I was mortified. Then I find out in that meeting that the one who WAS on hospice with that company had literally just passed away not ten minutes before. The body wasn't even cold yet and you dragged us in here to see who is next?!!!

I left that meeting and just cried. Because no matter what you may think, it is only about the money. All about the money. It is a sick, sick world we live in. I'm ready to go home.

Other than that, things have been good. We did have a cold snap, which I believe was completely manufactured but who knows. We went 3 weeks without water – but that is just normal winter for us. I'm used to that. My husband is doing well. He shakes pretty bad these days but for the most part he is hanging in there.

Hope you all are doing well. Take care out there.

Black Sheep

 

that was not what I meant to post

sorry. that was not the video I meant to post. here is the one I meant to post. I tried deleting the other post but couldn't.

Forbidden Bloodline

From Brother Nephtali1981:

What the "F"?

So much has happened since I last posted. In case you are wondering, my husband is doing better these days. Thank the Good Lord. 

Back in July the evil DON (Director of Nurses) decided that she could do a better job of scheduling than I could. I heard from the employees first that I wasn't doing the schedule anymore. Not only did she steal it out from under me, adding insult to injury, started a bunch of rumors about me as well. I honestly think she thought she could pop out a month's schedule in an hour rather than the 2 or 3 days it would take me to do it right. Not to mention all the call-outs and last minute; 3 people just up and quit scenarios. 

She then completely shut me out, so that I wasn't familiar with any of the new hires and their schedules as well. 

Once I got over the unprofessional and slimy way it was taken from me. I was kind of ok with it. Suddenly my job had A LOT less stress to it. I mean, who wants to hear about all their swollen lymph nodes and the rashes on their babies butts anyway? 

Around the end of August, beginning of September, people that whined the loudest about the way I did the schedule, would whisper to me about how they wished I was doing it again. It dragged on that way for a while, getting to the point that new hires were never put on the schedule and just went out and got other jobs. We lost a lot of good employees who were sick of only 1 CNA scheduled to get 42 residents up for breakfast. 

The DON decided we should have a huge halloween party for the residents and she promised them that she would make fantastic costumes for their wheelchairs out of cardboard. Then she stopped coming in to work, for various reasons, dog is sick, has a migraine, etc. Supposedly her new apartment had mold and she had to wait for the mold people to come and look at it. All lies as far as I was concerned. 

The staffing issue got so bad, that the VP of Operations from Corporate had to come to our facility and tell the DON that I would be doing all of the scheduling going forward. I had five days to get the November schedule out and with half the staff we had before she took over. The DON was not happy of course. But soon her not showing up got the better of her and she walked in for five minutes early halloween morning and left her keys on the desk, sending the Administrator an email that she quit. It would have been nice if she hadn't run the place into the ground before finally leaving it. 

So that is what I have been doing lately. Picking up all the pieces and trying to put Humpty Dumpty back together again.

Oh – and for the title of this post. While this is all going on, as I'm entering Physician Orders into our system (another one of my numerous responsibilities) I found that they had misspelled Ibuprophen. I've been buying that stuff for years and years and entering orders for Ibuprophen for over a year – so I know how it's spelled. I am a very good speller, which bothers me to say now that there is so much witchcraft in the world. But I KNOW how stuff is spelled. But late last week. Here it is spelled Ibuprofen. I asked around. The younger nurses always thought it was spelled with an “f”, but an older nurse even reached into her purse to show me her prescription Ibuprophen and sure enough. It was spelled Ibuprofen. She was shocked. Welcome to the Mandela Effect. Sigh. 

Gotta run, very very busy these days and winter is coming. I really hate winter, but my new car has climate control and tells me if I need to put air in the tires, so I think I'm going to be okay.

Take care out there. 

The Big Club

I have wanted to post for a couple weeks, but I also wanted the latest online fervor to die down a bit. I'm not going to give an opinion one way or the other. Although I will say that you don't get to be a world leader unless you are in the Big Club and there is no way that world leaders are going to tweet about you unless you are in the Big Club. The situation was clearly marked with the Hoax Code 33, but we will never know, one way or the other, whether it was real or fake.

It doesn't even matter now if it was an authentic situation or a huge trauma based psychological operation, because it will be used to push draconian laws and restrictions to our free speech and online presence. Those that are celebrating the job losses and closed bank accounts of the Left and/or Liberals for their crass and insensitive remarks (and even those you see saying such things are probably paid actors) are actually celebrating their own eventual digital prison.

The technology they have these days is so unbelievable and vast that people will not be able to wrap their heads around it. They will be shocked when it happens to them, and the prison door will slam shut. Seek the Lord now, because time is short.

Hope you all are well. Once again, I apologize for not posting more often. I have a very sick husband. Please pray for him.

Take care out there.

Checkmate?