Wednesday, March 27, 2019

Recent HHS Office of the Inspector General Report and SNF Payments

Dana Halvorson

On February 14, 2019, the Office of the Inspector General (OIG) released a report citing improper payments to SNFs when a qualifying three-inpatient nights hospital stay was not met.  Last month, McKnight’s issued an article on the report, and AHCA’s Clif Porter, Senior VP of Government Relations, is quoted.  Most recently, on March 25, 2019, a blog was published in Health Affairs titled, “What the Inspector General Gets Wrong About Reforming Observation Hospital Care.”  The blog article includes support for the Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753).  Introduced by Congressmen Joe Courtney (D-CT) and Glenn 'GT' Thompson (R-PA) and Senators Sherrod Brown (D-OH), Susan Collins (R-ME), Sheldon Whitehouse (D-RI) and Shelley Moore Capito (R-WV), the legislation ensures that time spent under “observation status” in a hospital counts toward satisfying the three-day inpatient hospital requirement for coverage of skilled nursing care services under Medicare.  For more information about the observation stays issue, please visit the AHCA/NCAL website.         

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