Medicare beneficiary’s inpatient or outpatient status in a hospital affects the way that Medicare bills the beneficiary as well as whether the patient qualifies for Skilled Nursing Facility care following the hospital stay, so it is really important for a beneficiary to understand their rights.
The Center for Medicare Advocacy created a handout that describes the issue surrounding observation status, and provides steps that patients can take to try and resolve the issue. Please click on the link below to view the packet: http://www.medicareadvocacy.org/self-help-packet-for-medicare-observation-status/
In Illinois, hospitals are not required to tell a patient if they are being put under observation status or being admitted to the hospital, so it is important for the patient to ask. Please view the fact sheet, created by the Centers for Medicare and Medicaid Services, for more information about the difference between inpatient and outpatient status: http://www.medicare.gov/Pubs/pdf/11435.pdf
– source Make Medicare Work Coalition http://www.ageoptions.org/services-and-programs_makemedicarework.html