Nothing matters more to hospitals than the wellbeing of the people they serve. Well, there may be one thing — money. Maybe that's why you're unlikely to find any hospital commercials touting the remarkably loose ways they can define "observation status."
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.
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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.
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 findApril 25, 2014
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.
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.
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.
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.
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).
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.