Know Your Hospitalization Codes or Risk Medicare Denial
Posted Jan 24 2013 12:00am
Your mom has fallen in her home and you’re now sitting with her in
the hospital. Nothing is broken, they said, but she suffered a back
injury they want to monitor. They’d like to keep her in the hospital for
observation. You say sure, why not? She stays several days and then is
released to a rehab facility for follow-up care.
Medicare pays for the first 20 days a patient is in a rehab facility
only if the patient is admitted and remains in the hospital for three
days prior to treatment. But, according to AAPR, hospitals are
increasingly leaving Medicare hospital patients “under observation”
without officially admitting them.