With support from the John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Fact Sheet to help Medicare beneficiaries and their families respond to unfair Medicare denials for care at inpatient rehabilitation … [Read more...] about New Fact Sheet Available – Medicare Inpatient Rehabilitation Hospital/Facility Coverage In Light of Jimmo v. Sebelius
Search Results for: inpatient rehabilitation hospital
CMS Clarifies 3-Hour “Rule” Should Not Preclude Medicare-Covered Inpatient Rehabilitation Hospital Care
Inpatient rehabilitation hospitals (IRHs, also known as Inpatient Rehab Facilities/IRFs) provide intensive rehabilitation services to patients on an inpatient basis.[1] Over time, a myth developed – based on a discredited CMS Policy … [Read more...] about CMS Clarifies 3-Hour “Rule” Should Not Preclude Medicare-Covered Inpatient Rehabilitation Hospital Care
Value of Inpatient Rehabilitation Hospital Care Reaffirmed
American Heart Association/American Stroke Association Recommends That Patients Who Have Strokes Receive Rehabilitation at Inpatient Rehabilitation Hospitals, not Skilled Nursing Facilities For the first time, the American Heart … [Read more...] about Value of Inpatient Rehabilitation Hospital Care Reaffirmed
It’s Time: Repeal the 3-Day Inpatient Hospital Requirement for Medicare Skilled Nursing Facility Coverage
Last year, the Center for Medicare Advocacy suggested that it was time to repeal the three-day inpatient hospital requirement that is necessary for Part A coverage in the traditional Medicare program.[1] The recent Second Circuit decision in … [Read more...] about It’s Time: Repeal the 3-Day Inpatient Hospital Requirement for Medicare Skilled Nursing Facility Coverage
It’s Time to Repeal the 3-Day Inpatient Hospital Requirement for Medicare Skilled Nursing Facility Coverage
When Medicare was enacted in 1965, it limited coverage in a skilled nursing facility (SNF) under Part A to beneficiaries who had been inpatients in an acute care hospital for at least three consecutive days before their discharge to a SNF.[1] The … [Read more...] about It’s Time to Repeal the 3-Day Inpatient Hospital Requirement for Medicare Skilled Nursing Facility Coverage
Study Finds Differences In Post-Hospital Care Settings and Mortality Rates for Medicare Patients In Rural And Urban Areas
A study of beneficiaries in traditional Medicare who were hospitalized between January 1, 2011 and September 30, 2015 with certain primary diagnoses (stroke, hip or femur fracture without joint replacement, chronic obstructive pulmonary disease, … [Read more...] about Study Finds Differences In Post-Hospital Care Settings and Mortality Rates for Medicare Patients In Rural And Urban Areas
MedPAC Discusses Requiring a Three-Day Hospital Stay for All Post-Acute Care, Threatening Access to Care
The Medicare Payment Advisory Commission (MedPAC) held a public meeting on September 6, 2018. Commissioners listened as staff presented on “Aligning Medicare’s statutory and regulatory requirements under a unified payment system for … [Read more...] about MedPAC Discusses Requiring a Three-Day Hospital Stay for All Post-Acute Care, Threatening Access to Care
Stop Calling Inpatients Outpatients: Medicare Created Observation Status – Ask Them to Change It!
This summer, the New York Times article “New Medicare Law to Notify Patients of Loophole in Nursing Home Coverage”* told the story of one of many people who contact the Center for Medicare Advocacy for help with hospital … [Read more...] about Stop Calling Inpatients Outpatients: Medicare Created Observation Status – Ask Them to Change It!
Medicare’s Value-Based Purchasing Program for Hospitals: Paying More to Low-Cost Hospitals That Provide Low Quality Care
In 2012, the Centers for Medicare & Medicaid Services (CMS) announced expansion of Medicare’s Value-Based Purchasing (VBP) Program for acute care hospitals. Beginning in Fiscal Year 2015, and as mandated by Congress in the Affordable … [Read more...] about Medicare’s Value-Based Purchasing Program for Hospitals: Paying More to Low-Cost Hospitals That Provide Low Quality Care
Discharge Planning: Tips for Evaluating a Hospital’s Skilled Nursing Facility Placement Choices
Medicare beneficiaries often need care in a Medicare- participating skilled nursing facility (SNF) after an inpatient hospitalization. For these patients, hospitals are responsible for identifying skilled nursing facilities within the … [Read more...] about Discharge Planning: Tips for Evaluating a Hospital’s Skilled Nursing Facility Placement Choices