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Last week a federal court judge ruled in a nationwide class action lawsuit that Medicare beneficiaries can appeal denied coverage for nursing facility services after hospitals changed their status from “inpatient” to “observation.”
The common hospital practice of admitting patients under observation status led to denying Medicare coverage following nursing facility stays. Medicare covers nursing facility care for patients who have status as an “inpatient” and they meet the “three-midnight rule.”
This important new decision will allow thousands of Medicare beneficiaries, who were denied coverage for nursing facility stays, to appeal changes in status to “observation” going back to 2009, and possibly receive reimbursement for uncovered nursing facility charges.
If you, or others you know, need help dealing with stress and connecting with others during the pandemic, attend a free webinar offered by Amy Leneker. Amy was a featured speaker at last year's SHIBA volunteer coordinator conference. You'll need to register for one of the following sessions:
3 ways to manage stress in uncertain times
- April 1 from 10:00 – 11:00 am
- April 1 from 1:30 – 2:30 pm
- April 28 from 10:00 – 11:00 am
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