Less than half of healthcare providers eligible to use the three-day hospital stay waiver available through the Bundled Payments for Care Improvement initiative actually use it, a recent report shows.
The government should pay for skilled nursing care without a preliminary three-day hospital stay, and the recovery auditor program should be reformed, Medicare Payment Advisory Commission members said at a meeting Friday.
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.
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).
LTC Commission wins praise for recommendations, but some members say the group failed to complete missionSeptember 16, 2013
Long-term care advocates have praised a set of recommendations issued by the Congressional Commission on Long-Term Care, but some commissioners broke ranks, saying the panel did not fulfill its mandate.