On April 20, 2018, Alison Kodjak of NPR published the story of trying to navigate her own Mother’s “Outpatient” Observation Status and follow-up care. After four nights in the hospital, all coded as observation, Alison’s … [Read more...] about NPR Observation Status Story: How Medicare’s Conflicting Hospitalization Rules Cost Me Thousands Of Dollars
Search Results for: observation
Hospitalists Continue to Oppose Observation Status and Call for Significant Change
Patients in “outpatient” observation status often receive care in acute care hospitals that is indistinguishable from the care patients receive when they are formally admitted to hospitals as inpatients.[1] Nevertheless, the … [Read more...] about Hospitalists Continue to Oppose Observation Status and Call for Significant Change
Annotated Bibliography: Observation Status
Abbey, Duane. “Inpatient Versus Outpatient: The Real Issue.” RAC Monitor. 06 March 2014. http://www.racmonitor.com/rac-enews/1618-inpatient-versus-outpatient-the-real-issue.html (site visited September 21, 2016).The author writes … [Read more...] about Annotated Bibliography: Observation Status
Medicare Hospital Outpatient & Observation Status Toolkit
Supported by The John A. Hartford Foundation Patients may find themselves in the hospital, receiving medical services, tests, and treatment, sometimes for many … [Read more...] about Medicare Hospital Outpatient & Observation Status Toolkit
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
Court Certifies Nationwide Class in “Observation Status” Case
Decision in Alexander v. Price Means Medicare Patients Could Gain Right to Appeal Placement on “Observation Status” and Avoid Large Medical BillsEighty-four-year-old Nancy Niemi of North Carolina was hospitalized for 39 days earlier … [Read more...] about Court Certifies Nationwide Class in “Observation Status” Case
March, 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues
Welcome and Housekeeping (David Lipschutz, Moderator) Litigation Update (Ali Bers)Jimmo (Improvement standard) Barrows (formerly Bagnall) (Observation) Sherman (Lower level Medicare appeals) Other … [Read more...] about March, 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues
March 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues
LITIGATION UPDATEBarrows v. Price (formerly Bagnall v. Sebelius, Barrows v. Burwell), No. 3:11-cv-1703 (D. Conn.) (Observation Status). In November 2011, the Center for Medicare Advocacy and Justice in Aging filed a proposed class action … [Read more...] about March 2017 – Updates on Litigation, Health Reform, Observation Status & Other Issues
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)
Judge Allows Medicare Observation Status Appeal Rights Case to Proceed
For Immediate ReleaseContact: Matthew Shepard mshepard@medicareadvocacy.org 860-456-7790Feb. 9, 2017 – In a decision released on February 8, 2017, a federal judge allowed Medicare hospital patients seeking a right to appeal their … [Read more...] about Judge Allows Medicare Observation Status Appeal Rights Case to Proceed