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well. Discharged on the fifth day , home, to be admitted for therapy at the PT facility when the body cast was removed - four weeks post op." "FreedomCall, at that point, claimed that although the number of days for surgery were approved, payment for the surgery was not, nor for hospital days post op. As the surgery payment was not approved, the physical therapy that was required afterward, the special rented wheelchair for mobility in his body cast, and the surgery itself would not be covered. As the therapy was not covered, the additional days in the hospital, past the actual day of surgery, were - in essence - recuperative and rehabilitative and therefore not covered. Because the post op days - days during which he was on IV's and getting extensive medications - because those days were not actually surgical in content, a nursing home was all that was medically indicated." Dorothy jumped in for a clarification, "You mean a nursing home, like for those old ladies? Or a pediatric rehab hospital?" "No. Unskilled nursing on site, means put the kid with the old folks with Altzheimer's - essentially," then went on despite her questioner's raised eye brows. "The child was then referred to a charity facility in another state, by the HMO, with the claim that they were certified providers. That facility refused the case based on their assessment of the medical situation, but that refusal was deemed another issue not related to payment issues." Dryfus interjected, "To hell with supper, let's get some Bourbon in here. Shit. You taking this in Dot?" "I don't know. Trying." Shannon went on, "Let's see... case three.. Katie Mitchell is a ten year old who was healthy until at - um - age five - she developed a fever of 105 which nearly killed her. It