CEREBROSPINALECTOMYCase manager: "No skilled nursing facility will accept him." Me: "On what grounds?" Case manager: "He needs two people to transfer." Me: "That is the reason he needs a skilled nursing facility." What's the actual line your payer used? Send this to your case manager, who already knows.
EXPLAINED (ACCURACY-CHECKED)
Post-acute placement decisions are influenced by facility staffing and reimbursement; patients with higher care needs, including two-person transfers, are commonly harder to place and experience longer hospital stays awaiting placement.
Established: higher-acuity patients face longer post-acute placement delays; staffing and reimbursement drive facility acceptance.
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