Bills Introduced to Protect Medicare Beneficiaries from Observation Status Coverage Gap

By March 23, 2019 May 1st, 2019 Medicare

Last week, bipartisan, bicameral legislation was introduced to ensure all Medicare beneficiaries who spend three days or more in a hospital can access post-acute care in a Skilled Nursing Facility (SNF) when they need it. Currently, Medicare can deny SNF coverage following a hospital stay classified as outpatient observation rather than inpatient. The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682S.753) would protect beneficiaries from surprise bills for skilled nursing care by counting time they spend in observation status toward Medicare’s three-day stay requirement. Are you hospital inpatient or outpatient?

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Patricia Carrera

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