More information on the proposed rule on appeals process for Medicare beneficiaries reclassified as outpatients receiving observation services
By Todd Bergstrom | January 12, 2024 | All members
On December 21, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that establishes appeals processes for certain people with Original Medicare who are initially admitted to a hospital as an inpatient but subsequently reclassified by the hospital as an outpatient receiving observation services during their hospital stay and meet other eligibility criteria. The proposed rule is based on an order from the federal district court for the District of Connecticut in Alexander v. Azar.
The American Health Care Association/National Center for Assisted Living has developed a
helpful summary of the proposed rule for members (log-in required).
Additional resources
Care Providers of Minnesota will provide comments on the proposed rule and will provide members with additional information on the rule and possible comments in the near future.
Please contact Todd Bergstrom at the Association office if you have any questions.
Todd Bergstrom | Director of Research and Data Analysis |
tbergstrom@careproviders.org | 952-851-2486