A letter to the editor is presented which discusses a Medicare rule that denies coverage for post-hospital extended services when an inpatient's stay in a hospital is less than three consecutive days.doi:10.1111/jgs.12579Andrew B. Cohen
If we want this kind of system to be the rule rather than the exception, we need to scrap the healthcare exclusion in the tax code as part of a switch to a simple and fair flat tax. That will help bring some rationality to the health insurance market and address the part of the thi...
The Centers for Medicare and Medicaid Services (CMS) released a 26-page proposed rule Thursday requiring that providers and suppliers in the programs recognize same-sex spouses as a condition for participation. {mosads}If finalized, the regulation would apply to hospitals, long-term care fa...
For nearly 50 years Medicare has required patients to endure at least a three-day stint in the hospital before they become eligible for coverage of skilled nursing care afterward. A new study, however, finds that the main consequence of waiving the rule, as Medicare Advantage plans commonly do...
A special rule applies to the OPD PPS rates in 2001: For the period January 2, 2001, through March 31, 2001, the PPS amounts shall be those in effect on the day before implementation of the new law. For the periods April 1, 2001, through ...
4 The waiver of the 3-day rule during the PHE had the potential to increase SNF care, particularly among LTC residents. Because the majority of long-stay residents have their stay covered by Medicaid at a significantly lower rate than Medicare reimbursement for post–acute care, shifting ...
Proposed Medicare discharge rule faces criticism. Hosp Case Manag Hosp Case Manag 2006 Jul;14(7):110-2 View Abstract Download Full Paper Send a Question to the Author(s) Similar Publications 2005Feb Take care to give patients a choice of needed post-discharge services. Final CMS rule sets ...
Health Care Operationsshall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501. Acute care hospitalmeans a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Admin...
Medicare rule #2: Medicare starts the first day of the month you turn 65. Using those two rules, let’s look at an example. Let’s say your birthday is April 20th. If your birthday is April 20, then Medicare starts April 01.
Medicare’s 60-Day Rule Kaufman & Canoleson1/29/2025 The Centers for Medicare & Medicaid Services (CMS) finalized significant updates to the Medicare 60-Day Rule, which governs how providers and organizations must handle overpayments. Taking effect January 1, 2025, these...more ...