Care backdating

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Certify the person for any backdate month in which s/he would have been eligible had s/he applied in that month.

A backdate request can be made at any time, except in the case where backdating the client’s eligibility results in a deductible for the backdated period.

If so, may the hospital bill for inpatient admission time beginning at the time the patient left the ED?

A: When a physician initially orders outpatient observation services and then subsequently changes the order to inpatient admission, the hospital must bill for inpatient care starting at the date and time the order was changed to inpatient admission.

As it has realized that the government-created chaos is exposing patients to nasty and even deadly surprises, the government is now forcing the insurance industry to cover everyone retroactively and also to waive the contractual terms of that coverage—or else.

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