Thanks to a successful class action lawsuit led by the Center for Medicare Advocacy, if you were hospitalized between January 1, 2009 and February 13, 2025 and reclassified from inpatient to “observation status,” you may have the right to file a … [Read more...] about Reminder: Retrospective Observation Status Appeal Deadline is Jan. 2, 2026
Search Results for: observation
Observation Status Appeal Results in Hospital Coverage
This week a Medicare beneficiary won a retrospective change of status appeal that granted him coverage of costly hospital services. The appeal was made possible by CMA’s class action litigation regarding “observation status.” These types of appeals … [Read more...] about Observation Status Appeal Results in Hospital Coverage
Case Study: Observation Status Appeal Results in Nursing Home Coverage
Background: Mrs. J (a pseudonym), a 91-year-old woman with advanced dementia, fell at her Connecticut home in April while suffering from a urinary tract infection. She was in severe pain and barely able to move. Her husband and the home health aide … [Read more...] about Case Study: Observation Status Appeal Results in Nursing Home Coverage
NAELA News Article on “Observation Status” Appeals
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 … [Read more...] about NAELA News Article on “Observation Status” Appeals
New Observation Status Appeal Resource
Observation status appeals are now in effect. Beneficiaries are seeing information about “a new appeal right” on the Medicare Summary Notices they receive in the mail. This right resulted from the Center for Medicare Advocacy’s class action on behalf … [Read more...] about New Observation Status Appeal Resource
Observation Status Appeal Resources
Observation Status Appeals Are In Effect
Beneficiaries are seeing information about “a new appeal right” on the Medicare Summary Notices they receive in the mail. This right resulted from the Center for Medicare Advocacy’s class action on behalf of beneficiaries who have harmed by … [Read more...] about Observation Status Appeals Are In Effect
New Resources on Observation Status Appeals!
New year, new right to appeal. In 2025, as a result of the Center’s class action lawsuit, certain Medicare beneficiaries will have a new right to appeal their placement on “observation status” in hospitals. Information about these appeals is now … [Read more...] about New Resources on Observation Status Appeals!
Recorded Webinar | New Observation Status Appeals
Presented by Center for Medicare Advocacy Litigation Director Ali Bers and Senior Attorney Wey-Wey Kwok, with special guest Carol Wong, Associate Litigation Director at Justice in Aging, this webinar offers a preview of the appeals resulting from the … [Read more...] about Recorded Webinar | New Observation Status Appeals
Issue Brief 86 | November 2024 – Final Medicare Rules on Dental, Observation and Other Issues
I. FINAL PHYSICIAN FEE SCHEDULE RULECMS Final Rule Includes Important Oral Health ClarificationThis month Centers for Medicare & Medicaid Services (CMS) issued a final rule that announced finalized policy changes for Medicare payments … [Read more...] about Issue Brief 86 | November 2024 – Final Medicare Rules on Dental, Observation and Other Issues