HCPro, JustCoding Inpatient - 2020 Issue 49 (December)
Healthcare News: Hospitals authorized to treat certain inpatients at home
December 21st, 2020
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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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