Medicare Designated Rural Hospital

What the heck is a Medicare designated rural hospital? Client in south Georgia had bunion surgery in late January. Says the surgery was "pre-approved by Medicare".

I explained that pre-approved means snot and nothing is paid until Medicare reviews the claim.

Medicare paid $5905, Medigap paid $3838 but hospital claims she still owes $2067.

I have asked her to review her MSN and/or send to me for review. Also suggested calling Medicare for an explanation.

Subsequent correspondence produced this response.

[QUOTE]" It seems that because this brand new spanking hospital is classified
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