Healthcare News: Hospitals authorized to treat certain inpatients at home

December 21st, 2020

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This news update covers a CMS flexibility program created to expand hospital capacity by permitting selected inpatient care outside the traditional hospital setting. It is intended for hospital administrators, compliance teams, and coding/billing professionals who need to understand the program’s waiver process, patient-safety requirements, and the current lack of reporting guidance for hospital-based inpatient cases delivered at home.

Why This Topic Matters

The topic is relevant because it describes a temporary care-delivery model that affects hospital operations, documentation, monitoring, and future coding/reporting workflows. It also flags that CMS had not yet issued reporting guidance for these cases in ICD-10-CM/PCS, making the update important for facilities tracking regulatory and coding impacts.

What You Will Learn

  • The purpose of the CMS hospital-at-home flexibility program
  • Who may participate and how waiver requests are handled
  • General patient-safety and monitoring expectations for home-based inpatient care
  • What CMS had and had not clarified regarding reporting guidance

Who Should Read This

  • Hospital coders
  • Hospital compliance staff
  • Revenue cycle professionals
  • Hospital administrators
  • Case management teams

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