Patient was brought to the hospital after having fall in her apartment. She spent close to two days on the floor before she was discovered. She has since been discharged from the hospital to a nursing home for rehabilitation. After only a week and a half the insurance has informed us that they will no longer pay for her care.
https://www.agingcare.com/articles/get-medicare-to-pay-for-nursing-home-179738.htm
Whether the patient is covered by Medicare, or a private insurance plan, a geriatric care manager could help you get the facts and document the medical needs. Time is of the essence in preparing a response to the nursing home notice.
If this person has a different insurance carrier, you'll need to (a) ascertain the reason why they're refusing to pay, and (b) contact them directly to get more information and find out if there's any way to appeal their decision, as well as get them to pay.
Medicare, e.g., won't pay if someone refuses to participate in therapy. Is that a possibility?
You should also talk to the admins at the facility to find out what's going on with the insurance company's refusal.
Good luck - this is not a time when an injured person recovering from a fall needs to be hassled by an insurance carrier.
It just occurred to me that with a HIPAA authorization, you could also contact the hospital discharge planner, even though your friend has been discharged from the hospital, and ask (a) about other rehab facilities that might take her and/or (b) guidance on what to do.
Discharge planners are supposed to verify coverage prior to discharge for rehab, so apparently something changed after your friend was discharged from the hospital and during the first days of her stay at the rehab facility. The issue is to find out what the change was and how to correct it or work around it.
We need to know more about the situation.