No. 3:00CV563(AVC), filed March 24, 2000Updated: April 19, 2001Issue: (1) Whether a four-day stay in a hospital can be considered "outpatient observation" status and thus preclude meeting the 3-day qualifying condition for post-hospital skilled … [Read more...] about Lormore v. Shalala – Center Successfully Settles "Observation" Case
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Important Provisions Reinstated In Medicare Skilled Nursing Facility Regulations
In July,1998 revisions were made to the federal regulations which made significant changes to the Medicare skilled nursing facility level-of-care requirements. The revisions created a lack of clarity about what constitutes skilled nursing and, … [Read more...] about Important Provisions Reinstated In Medicare Skilled Nursing Facility Regulations
The Medicare Prospective Payment System (SNF)
Payment System Prior to July, 1998: Retrospective and Cost-BasedUntil July, 1998, nursing homes used to be reimbursed for care provided to Medicare Part A-covered residents residing in Medicare-certified beds through a retrospective cost-based … [Read more...] about The Medicare Prospective Payment System (SNF)