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Two-Midnight Admission Policy Goes Into Effect




by:
Leslie J. Levinson
Edwards Wildman Palmer LLP - New York Office

Michaela ("Kayla") Tabela
Edwards Wildman Palmer LLP - Boston Office

 
October 3, 2013

Previously published on October 2013

Today, October 1, 2013, marks the start of a new policy that requires inpatient admissions to span at least two midnights to qualify for reimbursement.

The policy, which is set forth in the FY 2014 Inpatient Prospective Payments Systems final rule, is a break from the Centers for Medicare & Medicaid Services’ previous 24-hour standard. CMS has stated that the new rule should “reduce uncertainty regarding the requirements for payments to hospitals - related to when a Medicare beneficiary should be admitted as a hospital inpatient.”

The rule has been criticized by hospitals and by the American Hospital Association, who have called for further clarification and guidance from CMS.



 

The views expressed in this document are solely the views of the author and not Martindale-Hubbell. This document is intended for informational purposes only and is not legal advice or a substitute for consultation with a licensed legal professional in a particular case or circumstance.
 

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