Fighting Long-Term Care Discharges and Readmission Denials: Resident Rights, Appeals, and Strategy

Troutman Pepper Locke litigator Callan Stein will present on “Fighting Long-Term Care Discharges and Readmission Denials: Resident Rights, Appeals, and Strategy” as part of the Strafford, now a BARBRI company, webinar series. the Program will take place on Wednesday, June 17 at 1 p.m. ET.

Federal nursing facility rules strictly guide the allowable resident discharge reasons, requiring specific notice and documentation. Contests over long-term care discharges often start with a misapplication of these standards concerning resident rights, administrative appeals, Medicare noncoverage decisions, Medicaid payment issues, and discharge planning failures, and may result in emergency advocacy.

Listen as our panel discusses involuntary transfer and discharge rules, hearing rights, readmission after hospitalization, Medicare and Medicaid issues, discharge planning, best practices for communication and documentation, and challenges to unlawful changes in long-term care placement.

Outline:

1. Federal framework for long-term care transfer and discharge rights
2. Allowable ground for discharge, notice requirements, and documentation pitfalls
3. Appeal process: hearing rights, preserving the resident’s place
4. Readmission disputes
5. Medicare noncoverage, Medicaid eligibility, payment disputes
6. Case management, advocate coordination, emergency relief
7. Conclusion and takeaways

Benefits:

The panel will explore these and other key areas:

• When a facility may or may not transfer/discharge a resident
• Required notice, timing, and documentation, and identifying common problems
• Preserving the resident’s position during the appeal process
• Return-from-hospital disputes, bed-hold issues, and readmission
• How Medicare noncoverage and Medicaid payment issues affect discharge
• Hearing preparation, evidence management, and emergency relief