On May 22, 2020, the government appealed the district court’s decision in Alexander v. Azar. The Azar court ordered Medicare to allow beneficiaries to appeal when their hospital status is switched from inpatient to “observation status”. The Alexander … [Read more...] about Government Appeals “Observation Status” Court Decision
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Federal Court Orders Appeal Rights for Some Observation Status Patients: More Advocacy is Needed
In order to qualify for Medicare-covered skilled nursing facility (SNF) care, Medicare beneficiaries must be an inpatient of a hospital for at least three consecutive days, not including the day of discharge. Unfortunately, beneficiaries are too … [Read more...] about Federal Court Orders Appeal Rights for Some Observation Status Patients: More Advocacy is Needed
Frequently Asked Questions about Observation Status Court Decision
On March 24, 2020, a federal court issued a decision in a nationwide class action, Alexander v. Azar, finding that certain Medicare beneficiaries who are admitted as “inpatients” and then changed to “observation status” at hospitals have the right to … [Read more...] about Frequently Asked Questions about Observation Status Court Decision
Frequently Asked Questions about the “Observation Status” Court Decision
On March 24, 2020, a federal court issued a decision in a nationwide class action, Alexander v. Azar, finding that certain Medicare beneficiaries who are admitted as hospital “inpatients” but then switched to “observation status” have the right to … [Read more...] about Frequently Asked Questions about the “Observation Status” Court Decision
Federal Court Orders Appeal Rights on “Observation Status” Issue for Certain Medicare Hospital Patients
For Immediate Release March 24, 2020 Contact: Matthew Shepard: 202-293-5760, MShepard@MedicareAdvocacy.org In a decision issued today, Judge Michael P. Shea of the U.S. District Court in Hartford, Connecticut found that certain Medicare … [Read more...] about Federal Court Orders Appeal Rights on “Observation Status” Issue for Certain Medicare Hospital Patients
Accountable Care Organizations and Observation Status
One of the ongoing problems that Medicare beneficiaries face is so-called “outpatient” hospital observation status. When a hospital classifies a patient as an outpatient, rather than as an inpatient, the result is that the patient is ineligible for … [Read more...] about Accountable Care Organizations and Observation Status
Administrator Verma’s Tweet Sparks Support for Addressing Observation Status
On August 4, CMS Administrator Seema Verma tweeted that beneficiaries wanting Medicare to pay for their stay at a skilled nursing facility (SNF) should make sure they are first admitted to the hospital for at least three days.[1] Writing, “Govt … [Read more...] about Administrator Verma’s Tweet Sparks Support for Addressing Observation Status
Alexander v. Azar Trial Update – Seeking an Appeal of Outpatient Observation Status
Since 2011 the Center for Medicare Advocacy has been pursuing a nationwide class action lawsuit seeking an appeal for Medicare beneficiaries who are classified as hospital outpatients in observation status. (Alexander v. Azar, 3:11-cv-1703, U.S. … [Read more...] about Alexander v. Azar Trial Update – Seeking an Appeal of Outpatient Observation Status
More Doors to Medicare Home Health Closing, More Harm for Observation Status Patients
Many Medicare hospital patients classified as observation status “outpatients” currently forego necessary skilled nursing facility (SNF) care and head home to continue care through Medicare’s home health care benefit. This is because they lack a … [Read more...] about More Doors to Medicare Home Health Closing, More Harm for Observation Status Patients
Observation Status and Surprise Medical Bills
The Center for Medicare Advocacy frequently hears from Medicare beneficiaries and their families about patients who receive treatment, tests, and services for multiple days while they are in a hospital bed but who are called “outpatients.” If these … [Read more...] about Observation Status and Surprise Medical Bills