Tuesday, February 4, 2014

CMS Announces Further Partial Delay of “Two Midnight” Rule

Dana Halvorson

The Centers for Medicare and Medicaid Services (CMS) recently announced another partial delay of the “two midnight” rule until after September 30, 2014, due to growing pressure from physicians and hospitals. The policy, included in CMS’ FY 2014 Inpatient Prospective Payment System final rule, which provided doctors and hospitals guidance on conferring inpatient status for stays that cross at least two midnights and thereby allow for coverage under the Medicare Hospital Inpatient Part A benefit. Medicare's recovery auditors were ready to begin enforcing the rule on October 1, 2013. However, due to concerns from the provider community, the enforcement was delayed until March 31, 2014. Last week, CMS announced that recovery auditors would now have to wait until after September 30, 2014, to start auditing claims under the two-midnight rule. CMS will still allow Medicare’s administrative contractors to review short stays and deny payment if not deemed medical necessary. Further information about this partial delay can be found here.

No comments:

Post a Comment