The Centers for Medicare & Medicaid Services is once again being urged to change a rule that requires an individual to spend three consecutive days as a hospital inpatient in order to receive Medicare skilled nursing coverage.

The battle over observation stays has long been a struggle between nursing home providers and the government. Buoyed by indications that CMS Administrator Seema Verma is open to change based on a recent tweet, the American Health Care Association/National Center for Assisted Living pounced, sending a letter Monday that asked her to revisit the issue.

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