The Center for Medicare Advocacy’s Litigation Director, Alice Bers, has authored an article in the current issue of NAELA News. The article outlines the newly established right for certain Medicare beneficiaries to appeal their reclassification from hospital inpatients to “observation status.” This significant development stems from a class action brought by the Center and co-counsel Justice in Aging and Wilson Sonsini Goodrich & Rosati.
The piece provides guidance and practical resources to help attorneys assist their clients in pursuing retrospective or prospective Medicare appeals that could restore eligibility for skilled nursing facility (SNF) coverage and recover out-of-pocket costs.
Read the article for details about who is eligible to appeal, appeal procedures, and links to tools including flowcharts and forms.
June 5, 2025 – A. Bers