Over 10 months ago, in March 2020, a federal district court issued an order in Alexander v. Azar stating that the Centers for Medicare & Medicaid Services (CMS) must permit certain Medicare beneficiaries to appeal the denial of their Part A … [Read more...] about Government Seeks to Stop Implementation of Court Order in Hospital Observation Status Case
Search Results for: observation status
“Observation Status” May Disproportionately Burden Medicare Beneficiaries in the Most Vulnerable Neighborhoods
A new study shows that the consequences of “observation status” may disproportionately burden Medicare beneficiaries in neighborhoods with high levels of socioeconomic deprivation. When hospitalized patients are labeled in observation status they … [Read more...] about “Observation Status” May Disproportionately Burden Medicare Beneficiaries in the Most Vulnerable Neighborhoods
Government Appeals “Observation Status” Court Decision
On May 22, 2020, the government appealed the district court’s decision in Alexander v. Azar. The Azar court ordered Medicare to allow beneficiaries to appeal when their hospital status is switched from inpatient to “observation status”. The Alexander … [Read more...] about Government Appeals “Observation Status” Court Decision
Federal Court Orders Appeal Rights for Some Observation Status Patients: More Advocacy is Needed
In order to qualify for Medicare-covered skilled nursing facility (SNF) care, Medicare beneficiaries must be an inpatient of a hospital for at least three consecutive days, not including the day of discharge. Unfortunately, beneficiaries are too … [Read more...] about Federal Court Orders Appeal Rights for Some Observation Status Patients: More Advocacy is Needed
Frequently Asked Questions about Observation Status Court Decision
On March 24, 2020, a federal court issued a decision in a nationwide class action, Alexander v. Azar, finding that certain Medicare beneficiaries who are admitted as “inpatients” and then changed to “observation status” at hospitals have the right to … [Read more...] about Frequently Asked Questions about Observation Status Court Decision
Frequently Asked Questions about the “Observation Status” Court Decision
On March 24, 2020, a federal court issued a decision in a nationwide class action, Alexander v. Azar, finding that certain Medicare beneficiaries who are admitted as hospital “inpatients” but then switched to “observation status” have the right to … [Read more...] about Frequently Asked Questions about the “Observation Status” Court Decision
Federal Court Orders Appeal Rights on “Observation Status” Issue for Certain Medicare Hospital Patients
For Immediate Release March 24, 2020 Contact: Matthew Shepard: 202-293-5760, MShepard@MedicareAdvocacy.org In a decision issued today, Judge Michael P. Shea of the U.S. District Court in Hartford, Connecticut found that certain Medicare … [Read more...] about Federal Court Orders Appeal Rights on “Observation Status” Issue for Certain Medicare Hospital Patients
Accountable Care Organizations and Observation Status
One of the ongoing problems that Medicare beneficiaries face is so-called “outpatient” hospital observation status. When a hospital classifies a patient as an outpatient, rather than as an inpatient, the result is that the patient is ineligible for … [Read more...] about Accountable Care Organizations and Observation Status
Administrator Verma’s Tweet Sparks Support for Addressing Observation Status
On August 4, CMS Administrator Seema Verma tweeted that beneficiaries wanting Medicare to pay for their stay at a skilled nursing facility (SNF) should make sure they are first admitted to the hospital for at least three days.[1] Writing, “Govt … [Read more...] about Administrator Verma’s Tweet Sparks Support for Addressing Observation Status
Alexander v. Azar Trial Update – Seeking an Appeal of Outpatient Observation Status
Since 2011 the Center for Medicare Advocacy has been pursuing a nationwide class action lawsuit seeking an appeal for Medicare beneficiaries who are classified as hospital outpatients in observation status. (Alexander v. Azar, 3:11-cv-1703, U.S. … [Read more...] about Alexander v. Azar Trial Update – Seeking an Appeal of Outpatient Observation Status