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As a Medicare beneficiary, you have the option to receive Medicare coverage through a participating private Medicare Advantage (MA) plan. These plans must offer the services currently available ...
Medicare will pay for a nursing-home stay if it is determined that the patient needs skilled nursing services, such as help recovering after a medical issue like surgery or a stroke, but for not ...
To qualify for Medicare Part A coverage, an individual needs to have had an inpatient hospital stay of 3 consecutive days before receiving admittance to the SNF. This is called the 3-day rule, or ...
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. [1] This bill is called a claim. [2]
In the U.S., the Emergency Medical Treatment and Active Labor Act requires that hospitals treat all patients in need of emergency medical care without considering patients' ability to pay for service. [27] This government mandated care places a cost burden on medical providers, as critically ill patients lacking financial resources must be treated.
According to the Centers for Medicare & Medicaid Services, 55% of U.S. emergency care now goes uncompensated. [7] When medical bills go unpaid, health care providers must either shift the costs onto those who can pay or go uncompensated. In the first decade of EMTALA, such cost shifting amounted to a hidden tax levied by providers. [12]