Medicare Compliance & Reimbursement

Industry News:

Medicare Won't Pay Unless Patient Stays In Hospital For At Least 3 Days

Outdated regulation covering nursing home stays still applies. Medicare rules can at times be very confusing and, if miscalculated, very costly. This is especially true of the "3-Day Rule," which dates back to 1966. Many call obsolete today but is still being used by the Centers for Medicare & Medicaid Services as a cost-saving measure for nursing home stays following hospitalizations. 3-Day Rule: One Patient's Experience In his post on www.omaha.com, Michael Vitez of The Philadelphia Inquirer, tells of Fran Bogom, 86, a resident of the Abramson Center for Jewish Life in Horsham, who broke her arm on Jan. 3 when she dozed off and fell from her bed as she was watching TV. A widow with mild dementia, Bogom was taken to the Abington Memorial Hospital emergency room at 9:21 p.m. Doctors decided to keep her overnight under observation and to determine the further course of action on [...]
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