Eighty-four-year-old Nancy Niemi of North Carolina was hospitalized for 39 days earlier this year after her doctor sent her to the emergency room. It took weeks to stabilize her blood pressure and she experienced serious complications. But unbelievably, Ms. Niemi was categorized as an outpatient on “observation status” for her entire hospitalization, and she therefore lacked … [Read more...] about New Class of Hospital Patients May Gain Access to Appeal “Observation Status”
Statements about your Medicare coverage contain important information about the costs of medical care and prescriptions you have recently received. Below we explore 2 main types of Medicare statements: the Medicare Summary Notice (MSN) and the Explanation of Benefits (EOB). It is important to note that MSNs and EOBs are not bills. Rather, they provide a summary of health care … [Read more...] about Do You Know How to Make Sense of Your Medicare Statements?
Durable medical equipment (DME) is equipment that helps you complete your activities of daily living. Wheelchairs, walkers, and home oxygen equipment are some examples of Medicare-approved DME. Most people need some kind of DME at least once during their lives. In this presentation, we will learn how Medicare DME rules work so that you can limit your costs in the … [Read more...] about Review Medicare’s Coverage of Durable Medical Equipment & How to Use this Benefit
Did you know that 1 in 5 hospital inpatients return to the hospital within 30 days of leaving? To make the transition from the hospital as smooth as possible for you or a loved one, learn about Medicare discharge planning requirements, appeal rights, and coverage of post-hospital care. Below are 3 tips, plus additional action points to make sure you get the hospital care you … [Read more...] about Hospital Transitions ~ Do You Know Your Discharge Rights?
While many children engage in games of playing dead for a moment or two, few adults have the bizarre experience of being marked as deceased while they are still very much amongst the living. For an elder, this can pose a whole host of problems, particularly when it is a government entity linked to their health care benefits that got this important fact wrong. This scenario … [Read more...] about What Happens When a Beneficiary is Marked as Dead but is Still Very Much Alive? ~ Importance of Advocacy