decisionhealth Newsletters, Part B News - 2016 Issue 4 (April)
Brief: CMS relents on payment cuts tied to the two-midnight rule
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Article Overview
This brief summarizes a CMS proposal affecting hospital inpatient prospective payment system reimbursement and describes how the agency is addressing prior payment reductions associated with the two-midnight policy. It is relevant for hospital coders, billers, revenue cycle staff, compliance teams, and others who monitor CMS payment rules and annual IPPS updates. The article provides a high-level explanation of the proposed rate adjustment and its context without going into detailed coding instructions.
Why This Topic Matters
Hospital reimbursement can change based on CMS annual payment policy updates, so this article helps readers understand a proposed adjustment that may affect inpatient facility payment planning and compliance review.
What You Will Learn
- What the article says about CMS payment updates for hospital inpatient services
- How the two-midnight policy is connected to hospital reimbursement changes
- Why the 2017 IPPS proposed rule is relevant to hospital payment planning
- What type of CMS guidance is referenced in the brief
Who Should Read This
- Hospital coders
- Hospital billers
- Revenue cycle staff
- Compliance professionals
- Health system administrators
- Coding educators
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