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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 […]
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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 […]
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The End of the Medicare “Improvement Standard”

The End of the Medicare “Improvement Standard”For decades, home-health care agencies and nursing homes have terminated Medicare coverage if patients did not show improvement.  This policy was referred to as the Medicare “Improvement Standard.”  Nothing in the Medicare regulations stated that improvement was required for continuing coverage.  However, the Improvement Standard was regularly applied when […]
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Identifying and Avoiding Caregiver Burnout

Identifying and Avoiding Caregiver BurnoutMany of our clients are caring for or being cared for by a loved one.  More than 65 million Americans care for family members who need assistance due to chronic conditions, disabilities, disease, or the frailties of old age.  These millions of family caregivers may include spouses, parents, or children of […]
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