Over the past few years, the Center for Medicare Advocacy has seen a major increase in the calls related to Medicare beneficiaries who have been in the hospital for three days or longer and have been denied subsequent Medicare coverage of their nursing home care.
For decades Medicare has required a three-day inpatient hospital stay before a patient can receive up to 100 days of Medicare coverage in a skilled nursing facility. Medicare beneficiaries often need additional nursing or therapy in a nursing home following a hospital stay before they can safely return home. Increasingly, Medicare is not covering post-hospital nursing home stays, even when the patient has the requisite stay in a hospital, because of a trend called “observation status.”
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