CMS-1633-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient Hospital Stays; Transition for Certain Medicare-Dependent, Small Rural Hospitals … [Read more...] about Comments on Revisions to the 2-Midnight rule
Search Results for: 2-midnight rule
New Study: CMS’s New 2-Midnight Rule Increases Hospital’s Use of Observation Status
Final rules published in August 2013 by the Centers for Medicare & Medicaid Services (CMS) created time-based rules for determining inpatient status in an acute-care hospital.[1] Under the rules' two-midnight presumption, a physician … [Read more...] about New Study: CMS’s New 2-Midnight Rule Increases Hospital’s Use of Observation Status
Revisions to “Two-Midnight Rule” Do Not Help Hospitalized Medicare Patients in Observation Status
In 2013, the Centers for Medicare & Medicaid Services (CMS) promulgated the Two-Midnight Rule, which, for the first time in the Medicare program’s 50-year history, determined patient status in a hospital by reference to time.[1] … [Read more...] about Revisions to “Two-Midnight Rule” Do Not Help Hospitalized Medicare Patients in Observation Status
Proposed Revisions to “Two-Midnight” Rule Provide Little, If Any, Relief for Medicare Beneficiaries Stuck in the Hospital in Observation Status
In the annual update to Medicare reimbursement of acute care hospitals for outpatient care (July 8, 2015)[1] the Centers for Medicare & Medicaid Services (CMS) includes proposed revisions to the “Two-Midnight Rule” and its … [Read more...] about Proposed Revisions to “Two-Midnight” Rule Provide Little, If Any, Relief for Medicare Beneficiaries Stuck in the Hospital in Observation Status
Observation Status: New Final Rules from CMS Do Not Help Medicare Beneficiaries
Effective October 1, 2013, new rules for inpatient hospital reimbursement under the Medicare program[1] make final two sets of proposed rules that the Centers for Medicare & Medicaid Services (CMS) published in the Spring 2013 – the … [Read more...] about Observation Status: New Final Rules from CMS Do Not Help Medicare Beneficiaries
Center Comments on Medically Necessary Oral Health Coverage
The following is an excerpt from our full comments on the 2022 Physician's Fee Schedule. II.L. Proposals and Request for Information on Medicare Parts A and B Payment for Dental Services I. … [Read more...] about Center Comments on Medically Necessary Oral Health Coverage
Annotated Bibliography: Observation Status
Abbey, Duane. “Inpatient Versus Outpatient: The Real Issue.” RAC Monitor. 06 March 2014. http://www.racmonitor.com/rac-enews/1618-inpatient-versus-outpatient-the-real-issue.html (site visited September 21, 2016). The author writes … [Read more...] about Annotated Bibliography: Observation Status
Center Comments Re: Reducing Regulatory Burdens Imposed by the Patient Protection and Affordable Care Act & Improving Healthcare Choices to Empower Patients
July 12, 2017 Thomas E. Price Secretary Department of Health and Human Services Seema Verma Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey … [Read more...] about Center Comments Re: Reducing Regulatory Burdens Imposed by the Patient Protection and Affordable Care Act & Improving Healthcare Choices to Empower Patients
January 2017 – The Fight to Protect the ACA, Medicare and Medicaid & Other Issues
THE FIGHT TO PROTECT THE ACA, MEDICARE AND MEDICAID The President-Elect and Republican leaders in Congress have promised to repeal, and at some point, “replace” the Affordable Care Act. They also plan to gut the Medicaid program … [Read more...] about January 2017 – The Fight to Protect the ACA, Medicare and Medicaid & Other Issues
HHS Inspector General: Observation Status is a Growing Problem for Patients
HHS Inspector General: Observation Status is a Growing Problem for Patients In a new report, Vulnerabilities Remain Under Medicare’s 2-Midnight Hospital Policy,[1] the HHS Inspector General documents and confirms what Medicare beneficiaries … [Read more...] about HHS Inspector General: Observation Status is a Growing Problem for Patients