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Inpatient vs. Observation Status: Medicare Law Update

Understand the difference between inpatient and observation status and the associated Medicare coverages to protect your clients.

Most seniors who are taken to the hospital often do not understand that if they are not told they have been admitted to the hospital, they are likely just being held for observation. In the event they require nursing home care, even rehabilitation, after their hospitalization, if they have only been kept at the hospital for observation, no matter the length of their stay, Medicare will not cover any of their nursing home stay, or any rehabilitation. Understanding this information will help you advise your clients and their advocates to identify the issues early on in a hospital stay to determine whether the patient is being held for observation or has been admitted. This topic also outlines changes under the Affordable Care Act and the NOTICE Act that impact the treatment of seniors in hospitals and have a significant effect on financing their stay at a nursing home after hospitalization. This information is critical for anyone who works with seniors and their advocates so they can ensure they know how to advocate on their behalf to have the individual admitted to a hospital to protect and preserve their eligibility to have Medicare defer some of the cost of rehabilitation or a short-term stay in a nursing home.

Runtime: 72 minutes
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Why Lorman?

Over 30 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Overview of Inpatient vs. Observation Status

  • Background of Importance of Inpatient Status for Medicare
  • Clinical Distinctions Between Inpatient and Observation Status

Changes Under Affordable Care Act

  • Medicare Penalties to Hospitals Under Hospital Readmissions Reduction Program
  • Use of Observation Status to Avoid HRRP

Impact of the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act)

  • New Requirements Under the NOTICE Act
  • Pending Legislation

Advocating for Inpatient Status

  • Responding to Notification
  • Use of an Attorney/Patient Advocate
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Why Lorman?

Over 30 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Webinar

This program format does NOT qualify, nor meet the National Standard for NASBA accreditation.

Audio & Reference Manual

This program format does NOT qualify, nor meet the National Standard for NASBA accreditation.

MP3 Download

This program format does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 30 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Anthony A. Marrone II

Anthony A. Marrone II

The Marrone Law Firm, P.C.

  • Managing shareholder of The Marrone Law Firm, P.C.
  • Practice includes estate planning, business succession planning, elder law, Medicaid planning, and estate and trust litigation
  • Author of “The Social Media Marketing Blueprint for Lawyers” and several other journal articles and blogs on social media, estate planning and elder law
  • J.D., cum laude, Syracuse University College of Law
  • Can be contacted at [email protected], 315-728-9433, www.themarronelawfirm.com, www.anthonymarrone.com or www.facebook/marroneelderlaw
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Product ID: 399795
Published 2017
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