Our 91 yr. old mom is back in hospital but they coded it observation rather than admission. From what I understand, if she's 'under observation' it's not covered by Medicare? She had fallen and ER originally just did an X-ray that showed a cracked pelvis bone. Upon a return visit to the ER by ambulance because of excruciating pain, they did a CT scan which showed not 1 crack but 4 fractures on the pelvic bone!
Many questions here, first off, why didn't they do a CT scan originally on a 91 yr old woman with osteoporosis? She can't be discharged to re-hab because she can't handle 3 hrs of PT per day so the next step is a care facility but because she was coded as 'observation' for 4 nights it would be self pay? From what we understand, she would have had to be 'admitted' in the hospital for at least 3 days before they would discharge her to a care facility and be covered by Medicare.
2nd question - what's the difference between being 'admitted' and being 'under observation'
Who should I contact about these questions of why just the x-ray and why she wasn't re-admitted but only under observation? What is the difference between 'admission' and 'observation'?
We are new to this. very thankful that both mom and dad are pretty healthy for 91 and this is the first real issue.
Thanks in advance and please ask for clarification as I'm not sure this has made sense.