CMS Issues Final Rule on Medicare Beneficiary Appeal Rights for Certain Status Changes

On Friday, October 11, the Centers for Medicare and Medicaid Services (CMS) finalized the “Medicare Program: Appeal Rights for Certain Changes in Patient Status“ rule, which established court-ordered appeals processes for Medicare beneficiaries admitted as hospital inpatients but later reclassified as outpatients receiving observation services during their hospital stay. The final rule stayed largely as proposed but offers expanded timelines and additional beneficiary protections. AHCA/NCAL developed a summary of the final rule for members. An AHCA/NCAL login is required to view the summary; click here if you need to set up your AHCA/NCAL login.