Category Archives: acceptable practice

Update — Differing Denial Letters From Ascend Management Innovations

I have been in contact with a director from Ascend Management Innovations regarding the different denial letters we received regarding David’s care. Actually, I should qualify that.  They read my blog, and then contacted me through voicemail and a comment on the blog post directly. According to the director I spoke with, a very pleasant lady who directly engaged me in conversation regarding this issue.  I forwarded an email copy of both denial letters to her.  She is going to look into what happened.  She did indicate that this is NOT standard practice for their company. She also indicated that she only sees one denial letter. So now we wait. I am in the process of requesting a desk audit/appeal of the decision.  we have another 15 days to get that letter in to their desk review person. In addition, we are developing a team approach to David.  Adding services

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Differing letters of denial from Ascend Management Innovations

Readers may remember that on July 2nd 2014 we received denial of care in a residential facility by a company called Ascend Management Innovations. This past Saturday fully 8 days after the denial came we received our own version of the denial letter. Did you catch what I wrote there?  Our own version of the denial letter. You can find my original post about the denial here. In that post there is this section:    This section, perhaps most damning toward me and my wife is omitted from our version of the denial.  This section is the basis for the facility deciding that they would not appeal the decision of the Ascend Management Innovations company. To quote the facility directly “I don’t think there is going to be an appeal done. Mark said there doesn’t appear to be enough justification for appeal. Is there a therapist who has been doing

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Can I, Can I, Can I, Can I, Can I.

David has been in full form all day. We have a pool in the yard, and the kids were talking about going swimming.  So David asked if he could go. I said “not just yet. I need to finish some things in the house first.” His response?  “You mean I can’t ever go swimming?” and that’s when the fun started.  I tried to explain that he just needed to let me finish a few things, but that wasn’t good enough. He had to push buttons until everyone in the house was upset. How many times in the span of 2 minutes can you ask someone if you can go swimming? David can do 23. Only he did it for five minutes. Then he did it again. and again and again and again.  For half an hour. So I yelled at him that he just needs to give people a chance

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