Denial Patterns

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Trace DC40-3

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5.1 “WNL” alone

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5.2 Vague homebound status

The two-condition rule

Medicare requires both: (1) the patient needs assistance or has a condition contraindicating leaving home, and (2) leaving requires a considerable and taxing effort. Each must be documented with patient-specific evidence at every visit.

Before — does not survive

Patient remains homebound.

After — survives

Patient remains homebound. Requires a walker for ambulation due to severe shortness of breath on minimal exertion (≤20 ft before requiring rest); leaving the home requires the assistance of his wife and 30 minutes of recovery after dressing. Transfer into a vehicle requires a two-person assist. Last unaccompanied outing was 3+ months ago for a medical appointment, with reported exhaustion lasting the remainder of the day.

What changed

  • The specific condition or assistance need — a named diagnosis or assistive device.
  • Concrete evidence of the taxing effort — distance, time, recovery, helper.
  • Frequency or recency of leaving home — not “never leaves,” which overclaims.
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