Case Management

Eliminate observation, says MedPac

Case Management Insider, December 16, 2014

It’s a question that physicians struggle over daily: Inpatient or observation?

The Medicare Payment Advisory Commission (MedPac) says it’s time to end the confusion by doing away with observation altogether. At its November 6 meeting, MedPac floated the idea, saying that observation is problematic because it is not a level of care that qualifies patients for skilled-nursing facility (SNF) reimbursement after discharge. Approximately 100,000 stays in 2012 were for three or more days and 11,000 of those patients were discharged to a SNF without coverage, according to the MedPac presentation.
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