tci Medicare Compliance & Reimbursement - 2016 Issue 2

Compliance: Celebrate CMS' Modification of Over Two-Midnight Rule

Medical predictability of adverse event could be the decider of patient status. The Centers for Medicare & Medicaid Services (CMS) made revisions to the over two-midnight rule, as a part of final OPPS rule for 2016, in the Federal Register on Nov.13, 2015. Though CMS has rejected the recommendations that the over two-midnight rule be rescinded, the agency has granted providers discretion in deciding patient status. 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 an over...

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