McDermott targets the 'three-day rule'

Share this article:
Rep. Jim McDermott (D-WA)
Rep. Jim McDermott (D-WA)

Rep. Jim McDermott (D-WA) has introduced legislation that would eliminate a major hurdle to rehabilitation care and payments: the “three-day rule.”

Currently, Medicare will not cover the time residents spend in a nursing home after a hospital stay unless they were hospitalized as inpatients for three days. 

Under the “Fairness for Beneficiaries Act,” a physician would simply need to certify that a resident requires skilled care, regardless of prior time as an inpatient.

The pro-provider measure also includes protections against fraud, waste and abuse. It retains the current requirement that all skilled nursing care must be deemed medically necessary in order for patients to access the Medicare Part A benefit. 

In addition, the measure calls on HHS Secretary Kathleen Sebelius to develop a “uniform set of criteria to support medical necessity determinations.”


Share this article:
close

Next Article in News

More in News

Bulk of Medicaid to be managed care in two years: Avalere

Bulk of Medicaid to be managed care in ...

More than three-quarters of Medicaid beneficiaries will be enrolled in a managed care plan as of 2016, according to an Avalere Health analysis released Thursday. The numbers reveal that managed ...

Nursing home asked for employee's personal information too often, jury rules

The human resources department of a Maine nursing home did not properly protect a former employee's personal identification information, a jury recently ruled.

Test could confirm sepsis within an hour

Nursing home residents might benefit from a new way of diagnosing and treating sepsis made possible by discoveries out of the University of British Columbia.