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1、CARINGFORTHEAGES.COMCARINGFORTHEAGES•15Hospitalists,Too,SeektoChangeMedicare’s3-DayRuleBYMARYELLENSCHNEIDERaboutreformingobservationstatus,saidtherulechangemightplayout,”shefinancialburdenonthatpatientandDr.Sheehy.Butitwillstillleavehospital-added.“Onlytimewil
2、ltelliftheserulestheirfamily,”Dr.Greenosaid.edupwiththeuncertaintyandistsandotheradmittingphysicianswitharegoingtobebeneficialornot.”Dr.SheehysaidthatpatientswillconfusionsurroundingMedicare’sasetofdysfunctionalrulesonwhentoDr.Greenopredictedthattheissuesometi
3、mesaskiftheycanbeadmittedFrulesforwhenapatientshouldbeemployobservationstatus,shesaid.isn’tgoingtofadeaway.TheCenterforasinpatientswhentheyfindoutthatadmittedtothehospitalorclassifiedTheproblem,Dr.Sheehysaid,isthatMedicareAdvocacy,aconsumergroup,theyareinobser
4、vationstatusandwillbeasunderobservationstatus,hospitalistobservationstatushasexpandeddra-hasfiledaclassactionlawsuitagainstpayingmoreoutofpocket.“ThehonestleadersareurgingCongresstoaddressmaticallyinrecentyearsasMedicareCMSonbehalfof14Medicarebeneficia-answeri
5、s,wecan’t,”shesaid.onekeypieceoftheissue:the3-dayauditorshavereturnedhundredsofmil-riesseekingtoremovetheobservationPhysicianscaninsistonadmittinginpatienthospitalizationrequirementlionsofdollarstotheMedicareprogramstatusdesignation.InBagnallv.Sebelius,patient
6、sthatthehospital’scaseman-forcoverageofaskillednursingfacilitybydeemingmanyinpatientadmissionsfiledinNovember2011,theCenterforagersaysdon’tmeetMedicarecriteria,stay.asinappropriate.PerhapsasaresultofMedicareAdvocacystatesthattheuseDr.Greenosaid,butthelikelihoo
7、disEarlierthisyear,asmallgroupoftheaggressiveauditingbyMedicare,theofobservationstatusviolatesfederallawthatthehospitalwilllaterbedeniedlawmakersintroducedbillsinboththenumberofMedicarebeneficiariesclas-andbeneficiaries’constitutionalrighttopaymentbyMedicare.H
8、ouseandSenatetoaltertherequire-sifiedasreceivingobservationservicesdueprocess.“SowhatitdoesisitputsthedoctormentthatMedicarebeneficiariesmustformorethan48hourshasgrownfromInthemean
