ED Coding & Reimbursement Alert - 2014 Issue 7
OIG: Revise 'Two Midnight' Rule for Inpatient Stay
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Article Overview
This brief policy article summarizes OIG testimony questioning CMS’s Two Midnight inpatient admission policy and its potential impact on observation stays, short inpatient stays, beneficiary access, and Medicare payment dynamics. It is relevant to hospital coders, compliance staff, CDI teams, revenue cycle professionals, and other healthcare stakeholders monitoring Medicare inpatient-versus-observation policy changes.
Why This Topic Matters
The article matters because it highlights federal scrutiny of a recent CMS hospital payment policy and signals that hospitals, beneficiaries, and post-acute access may be affected by how inpatient stays and observation stays are handled.
What You Will Learn
- The policy context behind CMS’s Two Midnight inpatient admission rule.
- Why OIG raised concerns about the rule’s potential operational and payment effects.
- How the policy may relate to observation stays, short inpatient stays, and SNF access.
- What types of Medicare stakeholders and facility operations could be influenced by the policy.
Who Should Read This
- Hospital coders
- Compliance professionals
- CDI specialists
- Revenue cycle staff
- Hospital administrators
- Medicare policy analysts
- Health information management professionals
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