Medicare and Against Medical Advice

After a 2-day hospital stay for disagnostic purposes during which my primary care physician informed me that he was satisfied that he had determined the reason for my condition (dizzy spells and inner ear issues respectively), he first told me that I could be discharged that evening if I could get two additional tests done that day. They would be read and the results on his desk the next day at which time he would let me know if anything adverse had turned up. I was in a telemetry room with a heart monitor due to some heart beat irregularity for which he suggested that I see a cardiologist. He left my room, returned a couple of minutes later with the heart monitor tape showing a heart beat of something over 150 during our conversation. Based on that evidence alone he decided (and I didn’t find out that he had changed his mind about my discharge until after the two tests had been done) that I should see a cardiologist before leaving the hospital - which would require another night’s stay. I had had no previous vascular symptoms up to and including a visit to his office for a routine physical five days previous. When I learned of this decision, I insisted that the nurse get in touch with him on the phone. She did, and I also talked to him and informed him of my desire to be discharged that day, not the next. To me, this seemed unreasonable and uncecessary He seemed not to be terribly upset with my decision, said “the hospital was not a prison,” and I would be allowed to leave. I called his office when I arrived home to get the name of the cardiologist he was referring me to and it was then that his nurse/office manager told me that Medicare would deny the claim under such circumstances. Since then, I have found as many opinions on one side of the issue as the other. Most of the comments on this forum have sided on “No Problem.” I hope they are correct. I may not find out for another week or ten days.

What two tests?

High heart rate is not a vascular symptom.

What circumstances?

What issue?

No problem with what?

paulphylherr, I have no idea what you intend with your post. This forum is for comments on Staff Reports, and I don’t see anything in your post that relates to any Staff Report. I don’t see you asking a question (so that I could move this to General Questions), I don’t see anything to debate, I have no clue what sort of discussion or feedback you’re looking for.

Hence, I’m closing this thread. This is your only post. You might want to look around and see what we’re about, and then email me at ckdexthavn@aol.com with an explanation of what you’re looking for in the way of discussion, and I can move this to the appropriate forum and re-open it.