Tag Archive for "admitted" - David Wingate's Estate Planning and Elder Law Center

Centers for Medicare & Medicaid Services (CMS) Proposes New Rules Addressing “Observation Status” and Medicare Coverage

As part of the annual update to inpatient hospital reimbursement under the Medicare program, CMS is again considering observation status. This time, CMS is proposing "a time-based presumption of medical necessity for hospital inpatient services based on the beneficiary's length of stay" (78 Fed. Reg. 27486, 47644 (May 10, 2013)). Under the proposed rules, Medicare would presume that an individual is an inpatient if the physician documents that the patient requires more than two midnights in the hospital following an inpatient admission. The "starting point for this time-based instruction would be when the beneficiary is moved from any outpatient area…

How long you stay in the hospital matters if you want follow-up therapy.

To receive up to 100 days of rehabilitative treatment either in a rehab facility, nursing home, or at home, generally, you need at least 3 days inpatient hospitalization. Consequently, if you are in the hospital for two days or less, you may not qualify for this Medicare benefit and will pay privately. When calculating three days of inpatient care, consider three “midnights” and make certain the time was spent as an inpatient and not in the emergency room or “under observation.” Although, in the hospital, sleeping over, and if you’re not “admitted” you are not considered eligible. If “under observation”…

Posts Tagged ‘admitted’

Centers for Medicare & Medicaid Services (CMS) Proposes New Rules Addressing “Observation Status” and Medicare Coverage

How long you stay in the hospital matters if you want follow-up therapy.

Weather Report