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Last Modified: 5/7/2020 Location: FL, PR, USVI Business: Part A

Patient permission and automatic use of lifetime reserve days FAQ

Q: Can lifetime reserve (LTR) days be used automatically if the beneficiary elects not to use them?
A: No, hospitals are required to notify patients who have used or will use 90 days of benefits that they can choose not to use their reserve days for all or part of a stay. The hospital notice should be given when the beneficiary has five regular coinsurance days left and is expected to be hospitalized beyond that period. If the hospital discovers the patient has fewer than five regular coinsurance days left, it should immediately notify the patient of this option. The hospital should notate when it informed the patient of this option.
Source: Medical Review and Provider Outreach and Education; The Centers for Medicare & Medicaid Services (CMS) internet-only manual (IOM) Publication 100-02, Chapter 5-Lifetime Reserve Days, Section 30 external pdf file
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