tci Medicare Compliance & Reimbursement - 2021 Issue Q1

Reader Questions: Know the Facts on MOON Notices

Question: We saw a patient for 24 hours in the emergency department (ED) and two days in observation. The patient, who was covered by Medicare Part A, was upset when she got a bill and called to ask why her hospital stay wasn’t covered by Medicare. What can we say to patients about situations like this in the future? Arizona Subscriber Answer: This question comes up often in situations when patients have Medicare Part A but not Part B. The patients believe that Part A covers visits throughout the entire hospital, including the emergency department (ED) and the...

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