Can I refuse home health care?

by Ann
(NC)

Do I need Home Health Care physical therapy? A severe COPD(Medicare and Co-pay) patient wants out of SNF! It has been suggested that she will need in home nursing and occupational therapy once she is discharged from SNF...She wants to go home and be left alone (yes, live independently)She is already strong enough to dress, use the bathroom, walk the halls, etc. She has in her home ALL the equipment to sustain her (nebulizer, oxygen concentrator, back up Life Alert system, once a week aid to run her errands) Can she refuse this in home nursing and occupational therapy and still be allowed to go home?

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Can I refuse home health care?

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Jul 15, 2010
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A Patients Right to refuse home care
by: Marcia Oliver MSPT

Hello Ann,

Great research conclusion! Two main points here: One - Everyone has a right to refuse care only after they are informed of the consequences of refusal.
Two - Patients do not lose Medicare benefits because they refuse home health care or any health care! Again it is part of the patient rights to refuse care or treatment.

Jul 08, 2010
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Refusing home health care
by: Ann from NC

After much legal research, I can now answer my own question...Indeed, it is legal for discharged SNF patients to refuse in home health care if they so choose. They or their co-agents with power of attorney will have to sign a waiver releasing the Medicare prescribing doctor from any liabilities. Medicare coverage CAN NOT be discontinued because a patient has refused in home health care. Note also, that a patient has the right to leave a skilled nursing facility any time they choose as long as they, once again, sign a waiver releasing the medicare facility and their assigned medicare doctor from liability once they leave the facility.

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