Month: May 2023

Medicare Coverage: Observation vs. Inpatient Status

Medicare Coverage: Observation vs. Inpatient Status On September 23, a federal district court in Connecticut dismissed the case of Bagnall v. Sebelius.  A group of Medicare beneficiaries, the Plaintiffs, filed this lawsuit to protest the use of “observation status” during their hospital stays.  Patients on observation status are designated as outpatients, even though they may stay on […]
Read more

Recent Case Raises Concerns about Certain Transfers of Assets by a Medicaid Applicant to a Community Spouse

Recent Case Raises Concerns about Certain Transfers of Assets by a Medicaid Applicant to a Community Spouse: Many Medicaid applicants who need care in a nursing home have spouses who are able to continue living at home (“Community Spouses”).  There are guidelines that allow a Community Spouse to keep a certain amount of income and […]
Read more