Advocacy Group Files Lawsuit Against Government Challenging Observation Status
Posted on: 11/4/2011
The Center for Medicare Advocacy, Inc. (CMA) filed a class action lawsuit yesterday stating that Medicare is using "observation status" to deny reimbursement to beneficiaries for hospital services and nursing home stays.
The lawsuit - Bagnall v. Sebelius - claims that the use of observation status is a violation of the Medicare statute, the Freedom of Information Act, and the Due Process Clause of the Fifth Amendment.
The lawsuit was filed on behalf of seven Medicare beneficiaries who had to pay the majority of their hospitalization costs because they were classified as "outpatient."
To read more on the Hill’s healthcare blog, click here.
To read more in the Connecticut Mirror, click here.
To view the lawsuit, click here.
To access a supporting document on the CMA website, click here.,
NEW Compass: An Inside Look!
The 2016 release of Compass includes
a complete curriculum for case managers
and physician advisors. Check out what Compass can do for your organization:
Order Compass today at acmaweb.org/compass.
ACM™ Certification Study Guide is Online
How are you preparing to take the ACM™ Certification Exam? ACMA is now offering preparatory materials including a study guide and self-assessment exam. To learn more,