A deep dive into the work of one Medicaid contractor is offering stark new insights into how often Medicare Advantage plans deny nursing home coverage, how they time their decisions and why it matters ...
Medicare should eliminate a coverage rule requiring at least a three-day hospital inpatient stay for beneficiaries to qualify for follow-up nursing home coverage, former CMS Administrator Donald ...
A bipartisan group of House lawmakers is making another run at softening hospital-stay requirements needed to qualify for Medicare nursing home coverage. Pairs of Democrats and Republicans have ...
Medicare may end a person’s skilled nursing facility (SNF) coverage if the care is no longer medically necessary or if they use all their covered days in a benefit period. An SNF is a care facility ...
Medicare's three-day hospital admission rule has frustrated seniors who don't qualify for nursing home coverage because they were in the hospital under observation care rather than being admitted. The ...
To qualify for home healthcare under Medicare, you’ll need to show that you are “homebound” due to illness and injury via a doctor’s examination and recommendation. However, you’ll first need to be ...