While CMS tries to figure out how to proceed with the manual medical review process, we continue to track our caps and apply our modifiers. In the meantime, has anyone noticed how our typical Medicare...
Observation stay challenge heads to court
By
McKnight's Staff
May 06, 2013
Government lawyers and opponents of Medicare’s “observation stay loophole” squared off in court on Friday, when a federal judge convened the first hearing in the Bagnall vs. Sebelius...
Looking to open eyes about ‘observations’
By
James M. Berklan
May 01, 2013
Bully for provider groups pulling out the stops to draw attention to the ludicrous mishandling of “observation stay” designations by many hospitals. One prong of the plan is to have providers...
Hoping for some ‘observation stay’ sanity
By
James M. Berklan
Apr 10, 2013
It was welcome news Tuesday to learn that the confirmation hearing for the person who could officially wind up holding the purse strings for most nursing home payments was civil. Even better was the nominee...
Beware of hospital observation loopholes
By
Shelly Mesure, MS, OTR/L
Dec 07, 2012
Hospitals have been undergoing more and more restrictions on re-admissions and are now facing financial penalties in some situations. Unfortunately, this has also resulted in more patients not being classified...
CMS should modernize hospital admission status policies, say provider groups
By
McKnight's Staff
Sep 07, 2012
Provider groups assert regulators should update existing policies when determining hospital inpatient and outpatient admission status.
Provider group pushes for observation stay loophole fix
By
McKnight's Staff
Sep 05, 2012
A long-term care group is urging regulators to continue work on fixing the “observation stay loophole” that makes it harder for Medicare beneficiaries to get nursing home care.
Proponents of a bill to cut out the “observation stay” Medicare loophole got a boost from a House of Representatives member Wednesday.
Hospitals increasingly use ‘observation stay’ loophole, data shows
By
McKnight's Staff
Jun 05, 2012
Physicians and hospitals increasingly are admitting more Medicare beneficiaries for observation stays rather than as hospital inpatients, new research concludes.