New Observation Status Appeals 2024

A general preview of the appeals resulting from the Center’s class action on behalf of beneficiaries who have been harmed by “observation status.” The appeals will allow certain hospital patients who are reclassified from inpatient to observation to appeal their status and potentially gain Medicare coverage of skilled nursing facility services that they otherwise would have to forgo or pay for out of pocket. Class counsel reviews the new regulations and procedures, which are expected to become operational in early 2025, reviewing the basics of both types of new appeals (retrospective and prospective), who can appeal, and steps that people who think they are class members can take.
Observation Webinar Resource Page - medicareadvoca...
Observation Appeals Flowchart - medicareadvoca...