Thursday, March 13, 2014

Observation Status

My friends, please read this article! It could save you and your family many thousands of dollars.
For years, there have been other misjudgments against Medicare patients that are only now becoming apparent. Let me clarify a particular problem which wishes not to be clarified: observation status.
You would think when seeking life-threatening medical care at a hospital, treatment begins in the emergency room followed by admission to an inpatient bed. But under the controversial designation “observation status” determined by Medicare bureaucrats, you are still considered an outpatient even with oxygen in your nose and an IV in your arm.
*snip*
If you are a Medicare patient in a hospital, make sure you know your status. Should you be observation, question the case manager whether there might be justification to make it inpatient. Discuss with your physician the need to minimize testing, and bring your own medications from home to be distributed by nursing.
This is important. A hospital stay under "observation" status could easily force a family into bankruptcy. I knew that our local hospital used this designation, but I had no idea why until today.

I'm sure the ACA will be utilizing many such tricks to get expenses down. I believe that prescription medications will be another cost-cutting target. Talk to your doctor about whittling down the number of prescription medications you take.  Most (not all) people can achieve this if they lose weight, exercise, and eat healthy foods. We should all try to make the transition now, before our insurance plans refuse to pay for all those medications. It won't be easy.

Make no mistake: the pencil-pushers managing the ACA will mandate that we ALL have skin in the game. Those that refuse could find themselves staring at the reaper.






3 comments:

  1. lr, thanks for this post. I'm sharing it with some people close to me who are caring for elderly parents - really good stuff to know!

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  2. Question: Does this "observation" status apply to patients who have previously been inpatient, for every a little as 24 hours, within the last 30 days.

    Reason I ask is that my understanding is the the PPACA now requires Medicare to penalize hospitals for any ... repeat ANY ... readmission inside of 30 days. IN short, a hospital might have no choice now thanks to Obamacare.

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    1. I don't think so aridog, because, as you pointed out, the hospital has to eat any readmits within 30 days, on certain conditions. I'm not an expert on this. I'm not sure anyone is.

      The days of blindly getting tests, labs, doctors visits, surgeries, or hospitalizations, and trusting that your insurance will cover you, are gone. We'll all have to be VERY careful while this mess sorts itself out.

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