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Eldercare
Reply to "Elderly family member “outpatient observation”"
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[quote=Anonymous]Observation status is technically outpatient ( so for someone with straight Medicare, this would be covered by part B. If your loved one has straight Medicare, they cannot go to rehab, because they’d have to be an inpatient for 3 midnights (and Medicare has strict criteria for inpatient status). Sometimes people convert from outpatient to inpatient, if their status changes and they then meet intent criteria. If your loved one has managed care Medicare (otherwise known as Medicare Advantage), they do NOT need a 3 midnight stay - but the discharge planner will need to get authorization from the insurance company (they generally submit your lived one’s clinical information, with proof that there is a skilled need that can be better managed in a rehab, versus outpatient/home.[/quote]
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