Tag: inpatient

25 national organizations join AHCA in letter to CMS regarding observation stays

On June 20, 2017, a broad coalition of beneficiary and provider advocacy groups submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) in response to the matter of observation stays in hospitals, an ongoing issue that prevents thousands of beneficiaries from being able to access their skilled nursing benefit because of […]

Congress reintroduces bill to count observation stays as three-day prerequisite for SNF coverage

Congress has reintroduced a bill that would ensure patients receiving hospital care under “observation status” could count that time as part of the three-day inpatient hospital stay required to receive skilled nursing care coverage under Medicare. The Improving Access to Medicare Coverage Act of 2017 (HR 1421) mirrors a similar bill introduced in 2015. In […]

OIG finds Medicare’s “two-midnight stay” limits SNF care

The OIG has identified vulnerabilities in CMS’ “two-midnight” policy in a report published December 19, 2016. The two-midnight policy mandates that beneficiaries be admitted to the hospital for “two midnights” in order to be considered an inpatient admission and receive Medicare Part A coverage. In order for beneficiaries to be covered under Medicare for treatment […]