CMS issues revised “two-midnight rule”
Abstract: The CMS has finalized some major changes in regard to Medicare reimbursement for abbreviated inpatient stays. According to the CMS, not all care that’s provided in a hospital is appropriate for Part A payment as inpatient. This article looks at how the changes, first proposed in the summer of 2015, affect the current rule. A sidebar on the final 2016 OPPS rule summarizes the CMS’s recent changes to its approach for medical reviews for patient status determinations.