This summer, the New York Times article “New Medicare Law to Notify Patients of Loophole in Nursing Home Coverage”* told the story of one of many people who contact the Center for Medicare Advocacy for help with hospital … [Read more...] about Stop Calling Inpatients Outpatients: Medicare Created Observation Status – Ask Them to Change It!
Observation Status
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Observation Status Hurts Medicare Beneficiaries – Whether they have NOTICE or Not
An August 7, 2016 New York Times article once again highlighted the problem of hospital Observation Status, including issues with the NOTICE Act, which is supposed to help Medicare beneficiaries understand their status. The … [Read more...] about Observation Status Hurts Medicare Beneficiaries – Whether they have NOTICE or Not
CMS Delays Implementation of NOTICE Act Until Fall 2016
Beginning August 6, 2016, the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act)[1] requires hospitals to provide written and oral notice, within 36 hours, to patients who are in observation or other outpatient … [Read more...] about CMS Delays Implementation of NOTICE Act Until Fall 2016
A Model to Waive the Three-Day Inpatient Hospital Stay Requirement for Care in a Skilled Nursing Facility
In order for Medicare Part A to pay for a patient’s stay in a skilled nursing facility (SNF), the patient must first have spent at least three consecutive days as an inpatient in an acute care hospital.[1] For many Medicare beneficiaries, … [Read more...] about A Model to Waive the Three-Day Inpatient Hospital Stay Requirement for Care in a Skilled Nursing Facility
Further Center Comments on the NOTICE Act – June 2016
June 16, 2016Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Ave., S.W. Washington, D.C. … [Read more...] about Further Center Comments on the NOTICE Act – June 2016
More on Observation Status: CMS Halts Review of Hospitals’ Compliance with Two-Midnight Rule
The controversial issue of Observation Status continues.[1] The latest news is that the Centers for Medicare & Medicaid Services (CMS) told Quality Improvement Organizations (QIOs) on May 4 that they should temporarily pause their reviews … [Read more...] about More on Observation Status: CMS Halts Review of Hospitals’ Compliance with Two-Midnight Rule
Observation Status and the NOTICE Act: Advocates Not Over the MOON
In proposed rules updating Medicare reimbursement to acute care hospitals,[1] the Centers for Medicare & Medicaid Services (CMS) announces how it intends to implement the Notice of Observation Treatment and Implication for Care Eligibility Act … [Read more...] about Observation Status and the NOTICE Act: Advocates Not Over the 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