tci Medicare Compliance & Reimbursement - 2010 Issue 15

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Outdated regulation covering nursing home stays still applies.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...

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