tci ED Coding & Reimbursement Alert - 2014 Issue 2

Facility Coding: You Don't Need To Stay Up Late To Understand The Two Midnight Rule

The expected length of the hospital stay will suggest the proper site of service designation. If you though you knew when a service was observation instead of an inpatient admission, you might need to think again. The proposal and planned implementation of the so-called two midnight rule to determine whether a hospital stay is considered to be inpatient or outpatient status could have a big impact on ED facility services. The rule is a reaction from the OIG to concerns about short stay or observation visits being reported when the patient is actually in the hospital for an extended...

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