The Supreme Court’s impact on health reform? That was so June. Where the states stand on Medicaid? July. In August, Medicare reform is the story in health care. “Medicare Becoming the Primary Focus of ...

It’s a confusing situation for patients and a financially necessary one for hospitals: If a hospital cannot decide whether a patient is appropriate for inpatient admission, the patient can be kept up ...

If you are on traditional Medicare, either alone or with a Medicare Supplement plan or on Medicare Advantage and are taken to the hospital, one important distinction in describing your status can make ...

From a policy perspective, observation stays are intended to reduce the number of improper or fraudulent inpatient admissions, which frequently are medically unnecessary. However, classifying Medicare ...

Long-term care stakeholders and Medicare beneficiaries are applauding a new federal rule that makes it easier for patients to appeal hospital recoding that leaves them ineligible for Medicare skilled ...

Medicare uses the 2-midnight rule to determine whether to bill a hospital stay under Part A or Part B. This rule has implications for both costs and coverage. Original Medicare consists of Part A ...