We are desperately seeking your help to continue sharing our GoFundMe. We have exhausted our friends and family and need this to gain more traction with friends of friends of friends. We need the power of social media. We have sent out press releases and have been unsuccessful yet. We are working several angles and just need one of them to work out….and soon!
Mom has contracted her 6th and 7th hospital acquired infection, pneumonia and a UTI respectively. Pneumonia is very dangerous to someone in her condition. And because the public hospital she has been in for nearly 6 months now can no longer keep her, she is being transferred this week to a lower level hospital with even fewer resources.
Maximus upheld Humana’s inhumane denial. It is quite perplexing how Maximus can claim to be a government run “independent 3rd party reviewer” when approximately 82% of appeals are overturned after Maximus. I think only Maximus and weather forecasters can be wrong this much and still keep their jobs! I couldn’t even find out what information was submitted to Maximus from Humana short of a FOIA request (which I have submitted). Furthermore, it’s grotesque that my tax payer dollars go to fund such a dishonest program!
Next step in the appeal process is an ALJ (Administrative Law Judge), for which we are planning to file for an expedited hearing this week. If the ALJ upholds the decision we would then go before a Medicare Appeals Council Review and if that fails we would be on our way to US District Court. We are all hoping that it won’t have to go that far because the one thing we DO NOT have is time.
We are also applying for a repatriation loan from the US government, but the terms are unclear and there are more questions than answers.
I’d like to say after 6 months we have more answers than questions but we are still flying by the seat of our pants. We just want our family home for the holidays!