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You as the DPOA can request for certain people not even to be allowed to visit @ the facility or can visit only with your being there. But before you go with this nuclear option, I would say to the NP that since mom is at memory care then mom is not competent or cognitive to communicate responsibly so therefore either you or the DON will be there during the visit. You can fax this request to United Health too.
I will tell them when they call tomorrow that we decline. I already told the caller that I was the POA and that I had submitted the documentation to them before 1/1 when coverage began so they would be able to talk to me. I am not convinced she believed me, still, but I know mthr is "not able" to have online access to her insurance account, and I believe the POA is why - someone out there did believe me.\
Thank you all so much for telling me about your experiences. With the daily calls, and finally actually being able to answer the phone before it went to VM, I have felt a lot of pressure and stress. Now I can be assertive.
Most health insurers contract out to a vendor for these nurses (etc) to visit their patients. They get paid by the visit, hence the enthusiasm to come, even if told it is not necessary. The best plans, (like Kaiser and some ACO's) compensate staff based on outcomes, like participation in programs like therapies, medication compliance, and even improved test results or decreased infections. These staff or contractors cannot get results (and credit) if they cannot see the patient. They also see their share of family members and facility staff taking advantage of - or even abusing patients. This can be a valuable service, and it's included in the insurance.
"For the avoidance of doubt" you want to say to all concerned "no interviews except by appointment, and with either myself or a member of the NH staff approved by me present. Crystal?"