Observation Status

House unanimously passes 'observation status' bill

House unanimously passes 'observation status' bill

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Long-term care leaders firmly applauded members of the U.S. House on Tuesday for unanimously passing a bill that would put tighter control over the designation of "observation status" for hospital patients.

Also in the news for Oct. 1, 2014 . . .

CMS releases new version of software for collecting assessment information ... CT hospitals must now inform patients of observation status ... CA assisted living facilities face multiple requirements under new laws ... Govt. launches Open Payments website

CMS offers a deal to hospitals to cut Medicare appeals backlog

CMS offers a deal to hospitals to cut Medicare appeals backlog

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In an effort to trim the huge backlog of Medicare claims appeals that has stymied long-term care and other providers, the government is offering a new way to settle some cases. Hospitals could receive a partial payment if they withdraw appeals related to inpatient status, the Centers for Medicare & Medicaid Services announced in an email Friday.

Scrap hospital rule: experts

Scrap hospital rule: experts

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Medicare should cover people who go to a skilled nursing facility without a preceding hospital stay, experts recently told the Senate Special Committee on Aging.

Dramatic drop in hospital inpatient readmissions cannot be explained by a shift to observation stays, researchers find

Dramatic drop in hospital inpatient readmissions cannot be explained by a shift to observation stays, researchers find

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Hospitals achieved a notable reduction in their inpatient readmissions rate in 2012 and were not using observation stays to game the system, according to Centers for Medicare & Medicaid Services researchers. That means it is possible increases in the quality of care and care coordination are working in reducing readmissions.

Senate bill would revamp 2-midnight rule for hospital inpatient admissions

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Providers' complaints about the so-called "two-midnight rule" for determining hospital inpatient status have led to a new bipartisan bill in the U.S. Senate, which would create less rigid guidelines.

State News

State News

MINNESOTA — Residents of rural long-term care facilities have been scrambling to find rides to medical appointments due to a change enacted by Blue Cross/Blue Shield.

House lawmakers call on CMS to delay rule limiting observation stays

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More than 100 members of the House of Representatives have called on the Centers for Medicare & Medicaid Services to delay implementation of a new rule intended to limit the number of hospital patients under "observation" status.

When two midnights doesn't equal three days

When two midnights doesn't equal three days

Hospital observation stays have been increasing, as have Medicare auditors' denial of claims related to short inpatient stays on the basis that they should have been counted as observation stays. Observation stays often causes headaches for long-term care administrators and frustration for families.

Bill would end hospital inpatient requirement for SNF Medicare coverage

Bill would end hospital inpatient requirement for SNF Medicare coverage

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Medicare beneficiaries would be eligible for Part A coverage of skilled nursing care without a preceding hospital stay under a new bill introduced by Rep. Jim McDermott (D-WA).

Courtney's bill would take into account 'observation status' for Medicare-funded nursing home care

Courtney's bill would take into account 'observation status' for Medicare-funded nursing home care

Rep. Joe Courtney (D-CT) has introduced legislation that would allow hospital "observation status" to count toward the requisite three-day hospital stay for Medicare-funded nursing home care.