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A hospital’s classification of you as inpatient or
outpatient can significantly affect Medicare’s coverage, shaping how much you
pay for services and whether your coverage includes care in a skilled
nursing facility.
Medicare Part A pays for inpatient hospital and
post-hospital extended care, including care in a skilled nursing facility
following admission to a hospital. However, it doesn’t cover outpatient care,
which typically falls under Medicare Part B.
To receive coverage for post-hospital nursing home care
under Part A, you must have been an inpatient in a hospital for at least three
days.
As Medicare.gov explains, individuals become
inpatients after the hospital formally admits them per a doctor’s order. The
day the hospital discharges them constitutes the last inpatient day.
Who Is Considered an Outpatient?
Individuals who receive care in hospitals that don’t
formally admit them are regarded as outpatients. People receiving emergency
department services, observation services, outpatient surgeries, lab tests, or
X-rays are outpatients. Even when these individuals spend the night in the
hospital, Medicare still considers them outpatients.
When a hospital reclassifies you from an inpatient to an
outpatient receiving observation services, you could lose Part A coverage. This
is because Medicare Part A doesn’t cover post-hospital extended care for those
classified as outpatients.
If your hospital changed your status from inpatient to
outpatient, you have the right to challenge the status change. Upon
your appeal, Medicare must reconsider its decision and might change your status
back to inpatient, allowing Medicare Part A coverage to take effect.
Court Order
In the past, beneficiaries lacked the right to appeal status
changes from inpatient to outpatient. The Center for Medicare Advocacy secured
these appeal rights for Medicare beneficiaries in a 2020 class action lawsuit,
which the federal court affirmed in January 2022.
The court required Medicare to have appeal procedures in
place for hospitalized beneficiaries reclassified from inpatients to
outpatients getting observation services.
Appeals Process
Medicare.gov explains the process for appealing a
reclassification and who qualifies for an appeal.
You have the due process right to appeal if you meet the
following requirements:
To appeal, you must also meet one of the following criteria:
When Can You Appeal?
According to Medicare.gov, the appeals process for
reclassifications has yet to be made available. Generally, Medicare has a five-step
appeals process.
If you win your appeal, Medicare must disregard your
reclassification as an outpatient. It also must consider you an inpatient to
determine Part A Benefits, including coverage for your stays in a hospital and
skilled nursing coverage facility.
Speak to us to learn more about challenging your status change.
Because of the nature of their work, musicians of all genres are at risk for noise-induced hearing loss. Additionally, being able to hear properly is vital to the musicians livelihood, from being able to hear the right notes and words to playing in the correct pitch and key. Without proper hearing protection, the loud sounds most musicians experience on stage and while playing their instrument can cause permanent damage to their hearing. Additionally, musicians are also at risk for developing tinnitus, or a ringing-in-the-ears sensation. Tinnitus can be present with or without hearing loss, and while not life-threatening, can seriously deteriorate the quality of life for an individual.Hearing protection for musiciansBoth custom and non-custom products are available for musicians to help prevent hearing loss. Wearing the right ear protection not only helps combat hearing loss, but can also help to prevent tinnitus.Musician earplugs: These earplugs for made for musicians playing a variety of different types of instruments. Theyre available in several types of materials, from foam to a softer plastic, and enable the musician to still hear the music being performed. These earplugs are also beneficial for concert-goers to protect their hearing while still enjoying the music.Electronic earplugs: These earplugs are electronic and can be programmed to adjust to different pitches and sounds depending on the loudness and environment the musician is in. These adaptive earplugs allow musicians to hear the sounds that are important, while filtering out damaging noise levels.In-ear monitors: These high-tech devices are used by musicians or audio-engineer professionals and deliver sound to the ear while creating a barrier to background and damaging noise levels. In-ear monitors are available in custom or universal options.Who Can Benefit from Musician Earplugs?Musician earplugs and protection arent simply designed for individuals in a band, they can actually be beneficial to a number of different people, including:Students in the school band or orchestraMusic teachers or conductorsConcert or festival attendeesNightclub workers or patronsEntertainment industry staffFinding the right ear protectionFinding the right ear protection is vital for musicians to not only perform their jobs, but also prevent hearing loss. If you need additional information or assistance in purchasing musicians earplugs consider visiting a hearing professional near you. A hearing specialist will be able to evaluate your wants and ensure you find the right product for your specific needs.
Many people are aware theyre suffering from hearing loss, but find it difficult to get help. Those who have been diagnosed with hearing loss wait, on average, seven years before seeking treatment. The reasons for waiting on help vary; some are frustrated by hearing loss, believing it to be a sign of aging. Others think their condition isnt that severe or may not even realize they have hearing problems.Unfortunately, allowing hearing loss to remain untreated can lead to some serious consequences. The most recent studies highlight the social, psychological, cognitive and health effects of untreated hearing loss. These effects can vary as well, but all have serious impacts on your quality of life.The emotional effects of untreated hearing lossStudies have linked untreated hearing loss to a number of emotional health conditions, including:Irritability, negativism and angerFatigue, tension, stress and depressionAvoidance or withdrawal from social situationsSocial rejection and lonelinessReduced alertness and increased risk to personal safetyWhen you have hearing loss, you may experience difficulty following conversations in a group setting. Due to this problem, youre more likely to socially withdraw from visits with friends and family, which, over time, leads to depression and anxiety. The prospect of being immersed in a work meeting or large gathering, where numerous conversations will occur, can leave you feeling anxious.Untreated hearing loss and cognitive declineIn addition to the impacts on your emotional wellbeing, untreated hearing loss can also affect your cognitive health. When your ability to hear declines, your brain receives less stimulation than it typically would because its not working to identify different sounds and nuances. Over time, this lack of exercise for your brain can lead to memory loss or even dementia. Think of your brain in the same way you think of your body; if you work out the different muscle groups of your body, you remain healthy overall. However, if you instead only focused on one specific area, the other parts of your body become weaker. This is how untreated hearing loss impacts your brain. The portion of your brain responsible for transmitting sound becomes weaker, making memory loss more likely.Benefits of wearing a hearing aidTreating your hearing loss is the first step toward a healthier, happier life. Wearing a hearing aid can enrich your life and reopen many doors that may have closed for you over the years. Other benefits of treating your hearing loss with hearing aids include:Hearing your grandchilds first wordsHearing nature againFeeling safer in citiesAttending dinners in noisy environmentsEnjoying parties and understanding conversationHow to get helpHearing loss isnt age-specific; it can affect everyone, from babies to adults and seniors. The best way to know how to get help is to schedule an appointment with a hearing specialist. He or she will be able to help determine the type and degree of hearing loss you have. From there, the hearing care professional will be able to suggest a type and style of hearing aid that can help you begin to live a happier, more fulfilled life.If you think you or a loved one suffers from hearing loss, dont delay another day. Visit a hearing healthcare professional and take the first step toward a world of better hearing.
Hearing loss looks different on everyone. It can come on suddenly and cause permanent damage and it can gradually occur and make it difficult to identify. It even ranges from mild to profound and may vary across different pitches and frequencies. This is why Beltone Sound conducts a series of hearing tests before prescribing a solution. Our hearing aid specialists need to understand the unique nature of your hearing loss in order to match you with the best products possible.One of the most significant answers hearing tests can provide is whether your hearing loss can be categorized as conductive, sensorineural or mixed. This helps establish a foundation for the symptoms you are experiencing and helps determine the ideal solution. Conductive Hearing LossConductive hearing loss may be characterized by sounds that are muffled or far too quiet. It occurs when theres an issue with the way that sound is taken to the inner ear and a structure called the cochlea. This type of problem can be indicative of an issue with your ear canal, middle ear or eardrum.There are several potential causes of conductive hearing loss, including:Ear infections in the outer or middle earSevere earwax blockageDeterioration of the middle ear bonesOther problems with inner ear componentsIf you have conductive hearing loss, it may be temporary or permanent. Conducting a full hearing test with a professional is the only way to make that determination.Sensorineural Hearing LossPeople with sensorineural hearing loss may struggle to discern speech from background noises and suffer from tinnitus. This type of hearing loss is caused by a problem with the sensory receptors in the hearing system. Its often the result of an abnormality or damage to the hair cells in the cochlea, which can prevent sounds from being transmitted to the brain properly. This type of hearing loss is typically permanent.Sensorineural hearing loss can be a congenital condition in that its existed since birth. But it can also be caused by age or damage to the hair cells in the cochlea through infection, drugs, trauma or over-exposure to noise.Mixed Hearing LossFinally, its also possible for you to be experiencing mixed hearing loss. This means that you have an issue with both your inner and outer ear components. Its a diagnosis of co-occurring sensorineural and conductive hearing loss.The best way to find out what type of hearing loss you have is to schedule an appointment. Our hearing aid specialists will evaluate your hearing system through tests and let you know what your best path forward is based on the results.
Comprehensive Special Needs Estate Planning & Special Needs Trusts in PennsylvaniaEstate planning for families with special needs children presents a unique set of financial, legal, and healthcare challenges that require the expertise of a special needs planning attorney. Not all estate planning lawyers understand the intricacies involved, but the experienced special needs estate planning attorneys at Entrusted Legacy Law are dedicated to ensuring your child with special needs is fully protected when you are no longer able to serve as their primary caregiver.We provide a full range of estate planning services tailored to families with special needs children in Pennsylvania. Our goal is to help you preserve assets for your childs future care while ensuring they remain eligible for essential government benefits like Medicaid and Supplemental Security Income (SSI). We assist in setting up special needs trusts (SNTs) to safeguard financial resources, appointing legal guardians and trustees, and identifying long-term care options to ensure your child receives the best possible support and housing solutions.Special Needs Trusts & Asset ProtectionOne of the most significant challenges in special needs financial planning is ensuring that your child has adequate resources without jeopardizing their eligibility for public assistance programs. Many families unknowingly risk disqualifying their child from essential benefits by leaving them a direct financial inheritance. Instead, the best strategy is to establish a special needs trust to provide financial security while preserving their access to Medicaid, SSI, and other government assistance programs.A properly structured special needs trust allows funds to be used for supplemental expensessuch as medical care, therapy, education, and personal carewithout affecting eligibility for disability benefits. However, the regulations governing these trusts are complex. Funds must be managed by a designated trustee and cannot be distributed directly to the beneficiary, as this could trigger disqualification from public benefits. Additionally, a child's needs evolve over time, making it critical to have a trust that can adapt to changing circumstances and legal requirements.By working with an experienced Pennsylvania special needs attorney, you can ensure that your childs special needs trust is legally sound, structured correctly, and customized to their specific requirements.Special Needs Planning for Families in PennsylvaniaAt Entrusted Legacy Law, we specialize in estate planning for children with disabilities, including Down syndrome, autism, cerebral palsy, and other developmental or intellectual disabilities. Our firm helps families create a comprehensive life care plan that provides financial security while safeguarding access to government benefits and essential support services.Whether you need help establishing a special needs trust, securing a legal guardian, or planning for long-term care and housing, our Pennsylvania special needs planning attorneys are here to guide you through every step of the process.Contact Entrusted Legacy Law today to start creating a sustainable, secure future for your child with special needs.
Pennsylvania Probate: What You Need to Know After the Passing of a Loved OneIf you are here to learn about Pennsylvania probate laws after the passing of a loved one, we first want to extend our sincere condolences. We understand that this is a difficult time, and we hope the information on this page provides clarity and helps minimize the legal and administrative challenges you may otherwise face.What Is Probate in Pennsylvania?Probate in Pennsylvania is a court-supervised legal process that ensures the transfer of assets from a deceased individual to their rightful heirs or beneficiaries. This process is essential for: Proving the validity of a will Appointing an executor (if there is a will) or an administrator (if there is no will) Inventorying and appraising estate property Paying outstanding debts, estate taxes, and creditors Distributing assets as directed by the willor by Pennsylvania intestacy laws if no will existsIn Pennsylvania, if a deceased person owned real estate or assets solely in their name, their estate must go through probate before assets can be legally distributed.The Downsides of Pennsylvania Probateand What You Can Do NextMany residents in Allegheny County, Butler County, Beaver County, Washington County, and Westmoreland County have heard that probate is a lengthy, expensive, and public process. Unfortunately, this is truewithout proper estate planning, probate can be costly and time-consuming.The best way to avoid probate in Pennsylvania is to plan ahead using strategies such as revocable living trusts, beneficiary designations, and joint ownership structures. However, if you are already in a position where probate is required, the best thing you can do is educate yourself and seek experienced probate legal assistance to complete the process as efficiently and cost-effectively as possible.How Is a Probate Case Started in Pennsylvania?Probate can be initiated by any beneficiary or creditor, but most often, the process begins when the Executor named in the will files the original will and a petition with the Pennsylvania probate court.If there is no will, a close relative of the deceased (such as a spouse, child, or sibling) typically files the petition to become the Administrator of the Estate.Choosing the Executor for a Pennsylvania EstateIf a valid will exists, the individual named as Executor will handle the probate processif they are eligible and willingIf no Executor is available or no will exists, any interested party (such as a family member) can petition the Pennsylvania Orphans' Court to be appointed as the Administrator of the Estate.Executor Compensation in PennsylvaniaUnder Pennsylvania probate law, Executors and Administrators receive compensation based on a percentage of the total probate estate value. This is designed to fairly compensate them for their time and effort in managing estate matters.However, Executors can be held personally liable for any mistakes made during the process. Given the complexity of Pennsylvania probate rules, its critical to work with a skilled probate attorney to avoid legal pitfalls.Do You Need to Go Through Probate If a Trust Exists?In most cases, no. If the deceaseds assets were properly titled in the name of a trust, probate is not required. Instead, the successor trustee will work with an estate planning lawyer to administer the trust and distribute assets.However, many families are surprised to learn that simply having a trust does not guarantee that probate will be avoided. Common mistakes include: The trust was not updated over time to reflect new assets. The decedents assets were never properly transferred into the trust.To ensure your estate plan works as intended, its important to work with an estate planning attorney who provides ongoing trust maintenance and reviews.Which Assets Are Subject to Probate in Pennsylvania?Assets that must go through probate include: Real estate, bank accounts, or investments owned solely in the deceaseds name Personal property and valuable assets without a beneficiary designationAssets that bypass probate include: Jointly owned property with Right of Survivorship Bank accounts or investment accounts with Transfer on Death (TOD) or Payable on Death (POD) designations Life insurance policies and retirement accounts with named beneficiariesHowever, some assets that normally bypass probate can still become subject to the process under certain circumstances. Consult with a Pennsylvania probate attorney to determine if probate applies to your specific situation.How Pennsylvania Intestacy Laws Distribute an Estate When There Is No WillIf no valid will exists, Pennsylvania intestacy laws dictate how the estate will be distributed:1 Spouse (If married, a portion or all of the estate goes to the spouse)2 Children (If the deceased had children, they inherit next)3 Parents (If there are no children, parents inherit)4 Siblings (If no spouse, children, or parents, siblings inherit)This highlights the importance of estate planningwithout a will or trust, the state determines who receives your assets.How Long Does Pennsylvania Probate Take?The timeline for Pennsylvania probate varies depending on the estates complexity. On average: Minimum of 12 months for simple cases Up to 2+ years for complex estates, disputes, or tax-related mattersWhat Are the Costs of Probate in Pennsylvania?Probate costs in Pennsylvania include: Attorneys fees (Based on estate size and complexity) Court filing fees Executor fees (set by Pennsylvania law) Appraisal and valuation fees Publication and administrative costsIn more complex estates, additional fees may apply, increasing probate expenses and delays.How to Choose the Right Pennsylvania Probate AttorneySelecting the right probate lawyer in Pennsylvania is crucial. Many general practice lawyers dabble in probate law, but only experienced probate attorneys have the knowledge to navigate complex estate matters efficiently. You do NOT have to use the attorney who prepared the will. You have the right to choose a specialized probate lawyer who understands the nuances of Pennsylvania estate law and can expedite the process. Avoid costly mistakes. Working with an experienced probate attorney prevents errors that could increase costs, cause delays, or result in legal disputes.Contact Entrusted Legacy Law for a Complimentary Pennsylvania Probate ConsultationIf youre ready to begin the probate process in Pennsylvania, our Allegheny County and Butler County probate attorneys are here to guide you.Call us at 412-347-1731 to schedule a complimentary 15-minute consultation to determine your next best steps.During your consultation, we will: Answer your probate-related questions Provide guidance on estate administration Help you navigate the Pennsylvania probate process efficientlyWe are here to relieve the legal and administrative burden during this difficult time and ensure that your loved ones estate is handled with care.
Our Firm Prepares You for Life What makes our firm different is that we were built with the needs of growing families in mind. We understand you are BUSY, you are growing, you are planning for a life of prosperity and you value ease, convenience and efficiency. You are raising children, and caring for elderly parents, while also working hard to build your own nest egg for a lifetime of support. You want to know youve made the best decisions for your family and that your plan will work when your loved ones need it most. You want to make sure your minor children would be raised by the people you choose, and never by anyone you wouldnt want, and that your teens and adult children are properly prepared to care for you and what you leave behind. You want to feel confident that youve made the right choices, and handled everything so that you arent leaving behind a mess, when something happens. That is our focus as well. Weve developed unique systems to give you the same access to a Personal Family Lawyer as was previously only available to the super-wealthy, so you can have the guidance you need to build and maintain a life of prosperity and wealth. And, to keep your family out of court and out of conflict, which is the greatest risk to the people you love and all you have created, even if youve already worked with a traditional lawyer or created documents online. Our Team Is Here for You We encourage communication with our clients. In fact, weve thrown out the time clocks so you never have to be afraid to call with a quick question. Everything we do is billed on a flat-fee basis, agreed to in advance, so there are never any surprises. We have a whole team to serve you. When you call our office to ask your quick question, you wont have to wait hours or days for a phone call back. Youll get your question answered, right away. And, if you need to schedule a more in-depth legal or strategic call with your Personal Family Lawyer, a call will be scheduled when you're both available and ready for the call so we can make the very best use of your time and not waste your time by leaving voicemail after voicemail back and forth. And, we ensure the most important details of your planning are followed through on and your plan continues to work throughout your lifetime. We have a funding coordinator to ensure your assets are owned the right way throughout your lifetime and none of your assets will end up going through a long, expensive court process or being lost to the state because they were missed after your death. Weve created unique membership programs to keep your plan up to date year in and year out as well as give you access to our Trusted Team of Legal Experts for guidance on ANY legal or financial matter. One day you will need a lawyer. I dont know why and I dont know when, but when you do, you will be grateful you can call on us and well be here to advise you or get you out of a jam. We Help You Transfer Your Life and Legacy Lastly, we believe your financial wealth is only a small part of your overall Life and Legacy Planning which is made up of your far more valuable and most often lost upon incapacity or death intellectual, spiritual and human assets. These assets are what make you who you are, and sum up whats most important to you. And, a survey of inheritors has revealed that what they care about even more than inheriting your money, is inheriting these intangible assets. Most estate plans only focus on the transfer of your financial wealth to the next generation. Most people have such great intentions of passing on the intangible, but very few ever get around to it. Its just not a priority, until its too late. How much do you know about your grandparents values? Their most prized personal possessions? How they felt about you? What they had learned during their lifetime? If you are like most people, you know very little. Thats why we build the capture and passage of these most valuable assets into every estate plan we create. Not only will we help you pass on your money, but also your values, your insights, your stories and your experience the truly valuable assets your loved ones care about the most. Weve developed a tool that allows us to capture and pass on your whole family wealth, including your Intellectual, Spiritual and Human assets. I cant go into all of the details here, but well definitely talk about it when you come in for your Life and Legacy Planning Session.