Groundbreaking Decision Made on Observation Status Appeals
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Q. My mother, Ellen, spent a week in the hospital and ended up having surgery. She was seen by doctors and nurses, given several tests, had the surgery, and then got sent to a nursing home for two weeks of rehabilitation. She is certain that she was “inpatient” and then later switched to “observation status.” She didn’t think to ask, so she’s not sure how this even happened. After her stay, she
received a monstrous bill from the hospital and an even larger bill from the nursing home. Medicare did not cover the first week in the hospital and did not cover the time in the nursing facility for rehab. She was sent bills totaling nearly $10,000 from the hospital and nursing home because of what the attending physician wrote on his chart. She was told that Medicare isn’t paying because the hospital had her in “observation status” rather than “inpatient” care during the week, and that
Medicare doesn’t pay for “observation status” in the hospital.
Can anything be done to help my mother?
Critter Corner: How Docubank is Protecting Our Clients During the COVID-19 Pandemic
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I read Mr. Farr's recent article about the importance of estate planning and incapacity planning during the Coronavirus pandemic. I’m convinced that it’s certainly wise to do my planning now. One thing I’m concerned about, however, is how the hospital and my loved ones would access my documents should the need arise. Do I need to carry a big binder containing them with me in my car at all times
or is there an easier way?
Order Books by Evan Farr, 4-Time Best-Selling Author
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Certified Elder Law Attorney and Medicaid Asset Protection Expert, Evan H. Farr, CELA, has written four best-selling books in the field of elder law. For more information and to order, click here.
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