tci Medicare Compliance & Reimbursement - 2015 Issue 22

Reimbursement/Policy: Meet New Requirement Set by NOTICE with Significant Operational Steps

Implications with respect to cost sharing and subsequent SNF eligibility must be clearly set out in notification. More regulatory hassles surrounding observation patients cropped up when the Notice of Observation Treatment and Implication forCareEligibility (NOTICE) Act, was signed by President Obama on Aug. 6, 2015, with an effective date of August 2016. Stated briefly, it means that you need to inform the patient about “observation” status, and explain they are outpatient, despite being in the hospital, within a stipulated period. “This new requirement is something that hospitals should really be performing anyway,” explains Duane C. Abbey...

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