There is a new Medicare rule that is pushing hospitals to relegate patients to “observation” status vs. being fully admitted as an inpatient.

The limit is supposed to be 24-48 hours to make sure people are really sick enough to be there. Except that sometimes patients can be in as long as 5 days on “observation” status.

The big difference is instead of a patient meeting the three day hospitalization rule and then Medicare picking up the bill for the next round of skilled nursing care in a facility — those payments are now disallowed and the patient or their family ends up with the bill.

For more information please read this article entitled: “Hospitals Caught Between a Rock and A Hard Place over Observation”

The Christopher & Dana Reeve Foundation has compiled a list of apps for SmartPhones (including iPhone, iPad, Android and BlackBerry) that benefit people living with paralysis of any kind.

The list is constructed from a wide range of apps and includes those that were specifically created for wheelchair users as well as apps that might just improve the quality of life for anyone including people living with paralysis.

Click here to see the list

SSA Webinar on September 21: Tips for People Who Receive Social Security

SSA is holding webinars on its website, www.socialsecurity.gov, on a variety of topics. Coming up on Tuesday, September 21, 2010, at 2:00 p.m. ET, is the following webinar:

Using socialsecurity.gov: Tips for People Who Receive Social Security:

There are many Social Security services available online. You can replace a Medicare card, request a proof of income letter, change your address or phone number, start or change direct deposit, get or change a password or receive updates by email. Social Security will give you some tips on how to make the most of using those services.

You can sign up for the webinar on Social Security’s home page, www.socialsecurity.gov. Scroll down to the bottom of the center column to “Watch Our Webinars.” Double click on “Learn More.” You will be directed to a description and link to RSVP for the webinar.

The U.S. Department of Health and Human Services has created a new website, which is designed to answer questions about the new Affordable Health Care Act. The website provides specific information on private and public programs for which you may be eligible.

The website is located at http://www.HealthCare.gov

Michael J. Astrue, Commissioner of Social Security, announced that benefit checks are being delivered to some Atlantic coast residents on Thursday, September 2nd, before the arrival of Hurricane Earl and ahead of the regular September 3rd payment date. About 737,000 beneficiaries in South Carolina, North Carolina, Virginia, Maryland, Delaware, Pennsylvania, New Jersey, New York, Rhode Island, Massachusetts, and Washington, D.C. are affected by this early check delivery.

“Delivering checks early to these residents eliminates one concern beneficiaries might have as they prepare for the storm,” Commissioner Astrue said. “As beneficiaries take steps to ensure their own safety, this is one step we can take to help them. They should also be aware that Direct Deposit is a more secure and convenient way to receive payments, particularly when natural disasters strike.”

Social Security worked closely with the U.S. Postal Service and the Department of the Treasury to make the early delivery of checks possible.

A little-known strategy that allows Social Security recipients to boost their income by repaying retirement benefits received in earlier years and then claiming a bigger monthly retirement check based on their greater age may soon disappear. The Social Security Administration (SSA) is moving to eliminate the do-over strategy. If the agency gets its way, the rule could take effect within months. If you or someone you know might benefit from the payback strategy, now is the time to consider it and come to a decision. Putting it off could mean letting the government make the decision for you — by eliminating the opportunity. Retirees can collect Social Security benefits as early as age 62, but monthly payments are reduced by 25 percent compared with what they would be if claimed at full retirement age, which is 66 for those who claim benefits this year. Those who are willing to wait past age 66 can boost their benefits by 8 percent for every year they delay, up to age 70, increasing annual benefits to 132 percent of their base amount. In 2007, about 500 people — out of more than 37 million retirees and their dependents receiving benefits — took advantage of the payback option. By 2009, the number had nearly doubled as more retirees learned how they could repay their benefits, interest- and penalty-free, and restart them at a higher level. As a bonus, those who repay benefits can claim a tax credit or a tax deduction — whichever results in a bigger tax break — for any income taxes paid on the benefits as they received them.

Source: Washington Post (August 29, 2010)