Medicare's 3-day hospital inpatient status rule - Hurley Elder Care Law | Georgia's #1 Certified Elder Law Attorney

Medicares 3-day hospital inpatient status rule
May 7, 2024
POSTED IN: Medicare TAGS: Medicare, Nursing Home
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Have you heard of Medicares 3-day hospital inpatient status rule? No? Well, youre not alone.While the terminology may appear daunting, it holds significant implications for beneficiaries of Medicare, particularly those seeking skilled nursing facility (SNF) care after a hospitalization.Inpatient status is imperativeTo be eligible for Medicare coverage of SNF care , at least three consecutive days spent as an inpatient in a hospital is necessary.This means that observation status or an emergency room visit does not count towards the three-day requirement.

Unfortunately, many client families are unaware of this rule, and it can significantly impact out-of-pocket expenses and admission to an SNF for rehabilitation services.Navigating these regulations demands diligence and knowledge.Why is this rule necessary? Medicare Part A addresses hospital stays, while Part B pertains to outpatient services.However, for those eyeing SNF care, activation of Part A is imperative and contingent upon adherence to the 3-day stipulation.Are there any exceptions?During the Covid Public Health Emergency (PHE), CMS waived the 3-day stipulation.

The PHE has ended and certain Accountable Care Organizations (ACOs) and Medicare Advantage plans still have authority to forgo a 3-day inpatient hospital stay.Therefore it is crucial to understand your plans benefits if you are covered under an ACO or by a Medicare Advantage plan.Medicare.gov further explains how thethree daysare counted.Read carefully and ensure you are aware before your loved one needs a hospital visit.Hurley Elder Care Lawadvises our families to beproactive with their plans and decisions.

Educating yourself in advance can make a critical time less stressful.Call our experienced intake coordinators at 404-843-0121 with any Georgia elder law questions.We are always ready to assist you.
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Posted in MedicareTags: Medicare, Nursing Home

Posts navigation A major update in nursing home care regulations
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Needless to say, it was an emotionally delicate process but Jennifer was incredibly sympathetic and really knows her stuff! Shes uber-professional but personable and the entire revision process took a matter of several weeks and was fairly priced.I love that the firm sends newsletters with articles that are of interest to those in the later stages of life and their loved ones who might be caring for them.Nobody enjoys thinking about their eventual demise but it must be done if you want to make it easier for those left behind.

Highly recommend!read moreread less Karen Stearns 4/10/2024 Working with Jennifer and her team at Hurley was a great experience.Communication is excellent and they were very professional and efficient throughout the entire process.Highly recommend them!read moreread less Harris Wattles 3/08/2024 I went to Hurley to get help for my wife.

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Hurley's professional staff are available for calls and thru email, to address and answer every question I've needed during this unfamilar process.And Kiersten, who was assigned to assist me for my final phase, has been on point from the introduction.She was completely informed on my file, which assured me that she'd put in the work to know where we were in the process when she stepped in.

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I finally do see the light at the end of this very long tunnel.I would highly recommend Hurley ECL to family and friends.read moreread less Bj Harris 12/07/2023 The team at Hurley Elder Care Law (Kaila Crowder, Nicole Lott & Paul Abrahamson) were very attentive and supportive.They guided me through every step of the process to help my dad.

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To this end we searched and found Hurley Elder Care Law, who is very experienced in this area of assisting families with finding senior care in this area.Hurley Elder Care Law assisted us in finding a facility which specializes in senior living and rehabilitation care.Additionally, Hurley Elder Care Law has assisted us in getting this family member qualified under Medicaid and they were very professional throughout the entire time and process.

We would highly recommend them to others seeking similar needs and care.read moreread less MATTHEW NORTHCUTT 11/13/2023 Exceptional High Quality Customer Service has been given from the Law Firm ( especially from Andrew and Nicole.)read moreread less Sandra Walker 11/13/2023 I hired Hurley Law because my research showed that they were the most trusted elder law group in Atlanta.Danielle did not disappoint; she was compassionate, hard working, and ultimately won the dispute on my behalf.Great work, Danielle!read moreread less Tony Nettleman 9/19/2023 The team at Hurley are amazing.

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Mom has dementia and she still held my dads health care power of attorney.Miles Hurley is a wealth of knowledge and opened our eyes to ways to protect my parents assets as well as getting mom approved for Medicaid so in home services can be provided to assist my parents.We worked closely with Paul to provide all the needed documents.

His knowledge and patience were appreciated every step of the way.Nicole was also a wealth of information and always available to answer questions and assist us.There is no way we could have navigated this process without Paul and Nicole!read moreread less Cathy R.

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Excellent law firm!read moreread less Rand Eberhard 7/05/2023 This is the 2nd time I have used Hurley Elder Care Law firm.They are a very professional group.You get a free one hour meeting to discuss your needs, and then decide whether or not they can help you.

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The best! Worth every penny!read moreread less Connie Washburn 2/07/2023











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