Hospital-stay clause irks skilled facilities

Share this article:
Rep. Joe Courtney (D-CT)
Rep. Joe Courtney (D-CT)
Long-term care lobbyists have intensified the bright light shining into hospitals' practice of classifying more patients as under “observation” status.

 In comments to the Centers for Medicare & Medicaid Services, the American Health Care Association asked the agency to “assure that none of these policies hurts” Medicare beneficiaries.

In August, CMS launched a pilot program that allows 380 participating hospitals the ability to rebill Medicare for observation services if claims for inpatient care are rejected. The hope is this will reduce the rates of seniors being classified as in only for “observation.” Beneficiaries need three days as an inpatient to qualify for follow-up care at inpatient nursing and rehabilitation facilities.

 “When Medicare coverage is denied to those individuals who desperately need skilled nursing care, it forces an unfair decision on those beneficiaries to either to pay for care out of pocket or forgo the care they need to continue their health recovery,” AHCA President and CEO Mark Parkinson said in a statement.
Share this article:
close

Next Article in News

More in News

Rape investigation blocked by nursing home's HIPAA concerns, authorities say ...

Florida authorities say a nursing home is citing privacy laws to impede the investigation of a possible resident rape, according to local news reports.

Jury hands down $14 million negligent care verdict to 'send message' to nursing homes

Jury hands down $14 million negligent care verdict ...

A Massachusetts jury has awarded $14 million to the family of a nursing home resident who died due to a pressure ulcer, dehydration and other conditions linked to negligent care, ...

CCRC executive director salaries hold steady, therapy directors get boost

Continuing care retirement community executive director salaries have barely increased in the past year, while therapy and rehabilitation directors received a boost, a new report shows. The average salary for a therapy and rehab director is currently $95,905.