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Here are some things to consider:.Physical, occupational and speech therapy services for some patients, especially those who have long-term severe illnesses, are the services that have been impacted the most. Under a new Medicare reimbursement system, home health agencies now have a stronger financial incentive to treat patients who need short-term therapy after a stay in the hospital or rehabilitation facility. Payments under the new reimbursement system are higher for people who are discharged from an institution and have services provided within the first 30 days - and get lower after that..Ask whether you are an inpatient or outpatient: If admitted to a hospital, it's highly important that you, or your designated caregiver find out immediately whether you are being admitted to the hospital as an inpatient or an outpatient. Even if you are admitted as an inpatient, the hospital can switch you to observation status, but the hospital is required to notify you..TSCL Endorses New Social Security Bill."'The Senate's immediate role is clear: we need to support the federal, state, and local public health officials and healthcare professionals who are working overtime to blunt, delay, and mitigate the spread of the virus,' McConnell said. 'The American people deserve for their Congress to meet this subject head on.'".In addition, new retirees in 2017 or later would no longer have their benefits reduced by the WEP. Instead, all earnings would be considered when determining Social Security benefits. Ways and Means Committee Chairman Kevin Brady the sponsor of H.R. 711 explained on Tuesday, "No more unfair formula … Instead, we use the same benefit formula for everyone, looking at all earnings. And if some of those earnings aren't from Social Security covered employment, we adjust benefits to reflect the proportion that are.".If signed into law, the Consumer Price Index for Elderly Consumers Act would amend the Social Security Act with regard to the annual cost-of-living adjustment for Social Security benefits. Currently, the COLA is based upon the spending patterns of young, urban workers using the CPI for Urban Wage Earners. This legislation would calculate the COLA based on the spending patterns of seniors by using the CPI-E..Was your surgery for an inpatient or outpatient procedure? Even when you spend one or more nights in the hospital, that doesn't automatically make you an inpatient. Ask your hospital or facility's billing department. Whether the service is provided as an inpatient or outpatient is important, because it will be billed differently. If your elective surgery was an outpatient procedure and your anesthesiologist billed it as an inpatient service, or vice versa, then Medicare or your health plan may reject the bill. If an error was made, ask your anesthesiologist to correct the bill and resubmit it..This week, lawmakers in the Senate voted on three health reform bills that would have repealed and replaced parts of the ACA if enacted. All three of the bills the Better Care Reconciliation Act, the Obamacare Repeal and Reconciliation Act, and the Health Care Freedom Act better known as the "skinny repeal" bill failed to win passage on the Senate floor.