Assistive Living Billing - page 2

by Laurab14, MSN, APRN, CNS | 1,411 Views | 15 Comments

Can someone tell me the process an assistive living goes through in billing it's residents? My husbands mother keeps getting informed that her mother's "Levels" are increasing, causing a significant raise in her bill. I do not... Read More


  1. 0
    I will merge these two threads are they both discussing the same topic.
  2. 1
    I just started sitting down with family members for the biannual assessment of their loved ones, so that i could show them where the "point totals" that are used to determine the care levels come from. Service plans and care levels are much like the much beloved care plans. Their are actions that are being implemented to reach a goal. Sit down with the resident care director and have them go over it, point by point.
    VivaLasViejas likes this.
  3. 0
    Something that may be of use to the OP:
    Looks like Ohio has an elder care ombudsman program - I don't know all that much about it or how effective it is, but here's a link to it: http://aging.ohio.gov/services/ombudsman/default.aspx

    I do know that the one here was sort of iffy (sided with the facility more often than not - had to point out what they were advocating was a violation of state law), and that there are regulatory agencies that determine at least to some extent what facilities charge & when they can do rate changes (at least in California.) Had the quasi-pleasant experience of dealing with them when I managed my late mother's care, 'cause it turned out that my mother's caregiver in the RCFE she was staying at didn't inform us correctly & insisted we were entitled to a partial refund. Had to inform them that (a) the money was already paid in "good faith", and (b) the refund would in all probability nail my mom right in the "share of costs" corner and in all likelihood cost her her MediCal benefits.

    And people wonder why family members caring for elderly relatives tend to be kind of goofy at times...THAT I don't miss a bit! Best of luck, and let us know how it goes for you!

    ----- Dave
  4. 0
    Quote from clinicalteach
    There may be no such thing as a stupid question; but there sure are a lot of inquisitive idiots. No time for sanctimonious, holier than thou, hypocritical Ignorant Arses!
    Guilty!

    ----- Dave
  5. 0
    The CBRF/ALF I work at charges by level of care. Example: if your MIL was living at our facility and needed more than an alotted amount of time (I believe its 15-20 min) of nursing care than she would be charged for that. Or if she had a new tx or eye gtts she would be charged per our facility's rates. if she is needing more help with ADLs on a regular basis she would be charged for this as well. We give our residents a copy of our charge sheet with any new charge.
    It might be possible that she might be needing more care than she is letting you know. We have had that with a few of our residents. Ask the facility manager about it and express your concerns. The CNAs sould be charting daily on what cares are being done for your MIL. We have even gone as far as having our aides writing their own naratives of every visit they made to a room to help the family see that extra care is really needed.
    I hope that you are able to get your questions answered and everything worked out.
  6. 0
    Quote from IEDave
    Guilty!

    ----- Dave
    Lol!but you can admit it which almost turns it endearing


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