Tipping the Scales Toward Medicare Advantage (at the Expense of Medicare) Does Observation Status Undercut Claims that Hospital Readmissions Have Been Reduced? MedPAC Says No, Research Says Yes. Another Week, More Health Care Sabotage CMS … [Read more...] about CMA Alert – CMA Alert – Pushing MA at the Expense of Medicare; Observation and Readmissions; SNF Enforcement; More
Search Results for: observation status
CMA Alert – Critical Issue Roundup: MA Overpayment; HH Payment; Observation; More
Former CMS Administrator Comments on Medicare Advantage Overpayments Proposed Home Health Rules – Payments Drive Delivery of Care, Harming Beneficiaries Observation Status Harms Low-Income Medicare Beneficiaries Poll: Americans Favor … [Read more...] about CMA Alert – Critical Issue Roundup: MA Overpayment; HH Payment; Observation; More
CMS Issues Instructions Regarding the Medicare Outpatient Observation Notice (MOON)
Beginning no later than March 8, 2017, and as required by the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act),[1] hospitals and critical access hospitals (CAHs) are required to give patients both oral and written … [Read more...] about CMS Issues Instructions Regarding the Medicare Outpatient Observation Notice (MOON)
CMS Hosts Tele Town Hall on Hospital Observation NOTICE Act; Comments Accepted until January 4, 2016
The Centers for Medicare & Medicaid Services (CMS) hosted a Tele Town Hall on December 21, 2015 to solicit comments on the Notice of Observation Treatment and Implications for Care Eligibility (NOTICE) Act, Public Law 114-42. Beginning in … [Read more...] about CMS Hosts Tele Town Hall on Hospital Observation NOTICE Act; Comments Accepted until January 4, 2016
Fact Sheet – Observation Stays Deny Medicare Beneficiaries Access to Skilled Nursing Facility Care
Medicare beneficiaries are being denied access to Medicare’s skilled nursing facility (SNF) benefit because acute care hospitals are increasingly classifying their patients as “outpatients” receiving observation services, rather … [Read more...] about Fact Sheet – Observation Stays Deny Medicare Beneficiaries Access to Skilled Nursing Facility Care
Is It a Hospital Stay? Not When It’s “Observation”
The Center for Medicare Advocacy repeatedly hears about Medicare beneficiaries throughout the country whose entire stay in a hospital, including stays as long as 14 days, is classified by the hospital as outpatient observation. As a consequence of … [Read more...] about Is It a Hospital Stay? Not When It’s “Observation”
Extended Observation Stays in Acute Care Hospitals: Criticism, Legislation and Discussion
"Observation" is the term used to describe the outpatient status of a patient who is in a hospital, but not as an inpatient. Although the Medicare Manuals limit observation to 24-48 hours, many beneficiaries nationwide are experiencing extended stays … [Read more...] about Extended Observation Stays in Acute Care Hospitals: Criticism, Legislation and Discussion
Observation Services: What Can Beneficiaries and Advocates Do?
What are Observation Services? CMS Brochure Favorable Decisions What Should Beneficiaries and their Advocates Do? Continuing Work Being in a hospital bed in a … [Read more...] about Observation Services: What Can Beneficiaries and Advocates Do?
Lormore v. Shalala – Center Successfully Settles "Observation" Case
No. 3:00CV563(AVC), filed March 24, 2000 Updated: April 19, 2001 Issue: (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
CMA Alert | July 22, 2021
Advocates Call on Congress to Improve Medicare On July 20, 2021, the Center for Medicare Advocacy and nine other organizations sent a letter to Congress and the Biden Administration, urging them to move forward with improvements to the Medicare … [Read more...] about CMA Alert | July 22, 2021