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Acute Hospital Care

Inpatient Rehabilitation Facilities and Skilled Nursing facilities: Vive La Difference!

July 31, 2014

A study assessing the outcomes of patients who were treated in inpatient rehabilitation facilities (IRFs) with clinically and demographically similar patients who received their post-acute rehabilitation in skilled nursing facilities (SNFs) finds … [Read more...] about Inpatient Rehabilitation Facilities and Skilled Nursing facilities: Vive La Difference!

Filed Under: Article Tagged With: Acute Hospital Care, Rehab Hospital Care, site neutral, Skilled Nursing Facility, Weekly Alert

Harm from Medicare’s Hospital Observation Status Debated In Congressional Hearing – Center for Medicare Advocacy Presents Beneficiary Perspective

May 21, 2014

May 21, 2014 The May 20, 2014 hearing on "Current Hospital Issues in the Medicare Program," held by the Health Subcommittee of the House Committee on Ways and Means, was the first Congressional hearing to consider the impact of … [Read more...] about Harm from Medicare’s Hospital Observation Status Debated In Congressional Hearing – Center for Medicare Advocacy Presents Beneficiary Perspective

Filed Under: Article Tagged With: Acute Hospital Care, Observation Status, Skilled Nursing Facility, Weekly Alert

New CMS Rules Do NOT Change Requirement for 3-Day Qualifying Inpatient Hospital Stay

October 31, 2013

The Center for Medicare Advocacy has heard that some Medicare beneficiaries believe that new federal rules authorize Medicare to pay for their nursing home care if they are inpatients in a hospital for two midnights.  This belief is NOT … [Read more...] about New CMS Rules Do NOT Change Requirement for 3-Day Qualifying Inpatient Hospital Stay

Filed Under: Article Tagged With: Acute Hospital Care, Observation Status, Weekly Alert

Observation Status: New Final Rules from CMS Do Not Help Medicare Beneficiaries

August 29, 2013

Effective October 1, 2013, new rules for inpatient hospital reimbursement under the Medicare program[1] make final two sets of proposed rules that the Centers for Medicare & Medicaid Services (CMS) published in the Spring 2013 – the … [Read more...] about Observation Status: New Final Rules from CMS Do Not Help Medicare Beneficiaries

Filed Under: Article Tagged With: Acute Hospital Care, Observation Status, Weekly Alert

CMS Updates Guidance for Hospital Discharge Planning

May 30, 2013

On May 17, 2013, the Centers for Medicare & Medicaid Services (CMS) released an update of Appendix A of the State Operations Manual (SOM) revising its interpretive guidelines for hospital Discharge Planning.[1]  Medicare discharge planning … [Read more...] about CMS Updates Guidance for Hospital Discharge Planning

Filed Under: Article Tagged With: Acute Hospital Care, Discharge Planning, Weekly Alert

CMS Addresses Observation Status Again… And Again, No Help for Beneficiaries

May 16, 2013

As part of the annual update to inpatient hospital reimbursement under the Medicare program, the Centers for Medicare & Medicaid Services (CMS) is again considering observation status.  This time CMS is proposing "a time-based … [Read more...] about CMS Addresses Observation Status Again… And Again, No Help for Beneficiaries

Filed Under: Article Tagged With: Acute Hospital Care, Medicare and Health Care Reform, Medicare and Health Reform, Observation Status, Skilled Nursing Facility, Weekly Alert

Déjà Vu All Over Again: CMS Decides (Again) Not to Decide About Observation Status

November 20, 2012

On July 30, 2012, as part of proposed rulemaking on the outpatient prospective payment system, the Centers for Medicare & Medicaid Services (CMS) asked for public comment on potential policy options related to "observation … [Read more...] about Déjà Vu All Over Again: CMS Decides (Again) Not to Decide About Observation Status

Filed Under: Article Tagged With: Acute Hospital Care, Observation Status, Skilled Nursing Facility, Weekly Alert

CMS Invites Public Comment on Observation Status

August 9, 2012

August 9, 2012 Note to Alert readers: This Posted version contains additional information beyond that in the emailed version. As part of a notice of proposed rulemaking published in the Federal Register on July 30, 2012, the Centers for Medicare … [Read more...] about CMS Invites Public Comment on Observation Status

Filed Under: Article Tagged With: Acute Hospital Care, Observation Status, Skilled Nursing Facility, Weekly Alert

Compare Hospitals or Nursing Homes Using Medicare’s Online Tools

July 20, 2012

Two websites that help Americans make informed choices about hospitals and nursing homes have been redesigned and will make more information available to the public, CMS announced on July 19, 2012. The two sites – Hospital Compare and … [Read more...] about Compare Hospitals or Nursing Homes Using Medicare’s Online Tools

Filed Under: Article Tagged With: Acute Hospital Care, Quality of Care, Skilled Nursing Facility

More Concerns About Observation Status: Hospitals Join the Chorus

July 12, 2012

Hospital case managers and the hospital industry have joined the chorus of those opposed to observation status – a designation that renders a beneficiary ineligible for Medicare-covered skilled nursing facility (SNF) care.  This Alert … [Read more...] about More Concerns About Observation Status: Hospitals Join the Chorus

Filed Under: Article Tagged With: Acute Hospital Care, Observation Status, Skilled Nursing Facility, Weekly Alert

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

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