tci E/M Coding Alert - 2016 Issue 2

Inpatient: Prove Medical Necessity and You Can Skip the Two-Midnight Rule

But don’t overlook it completely, CMS says. While CMS won’t give in fully to recommendations that it rescind the two-midnight rule, the agency is allowing physicians a bit of leeway. Get the scoop on the changes and what they mean to your physicians. Score Big with the Exceptions to the Two-Midnight Rule The new revision modifies the exceptions to the two-midnight rule. CMS had previously indicated that an inpatient admission with less than a two-midnight stay would be rare and unusual. Hospitals have subsequently challenged this assertion and the associated language from CMS. Therefore, CMS revised the...

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