Medicare uses the 2-midnight rule to determine whether to bill a hospital stay under Part A or Part B. This rule has implications for both costs and coverage. Original Medicare consists of Part A ...
The Centers for Medicare and Medicaid Services' January expansion of the two-midnight rule to include Medicare Advantage plans has contributed to higher inpatient volumes and revenue growth in the ...
CMS’ expansion of the two-midnight rule led to increased inpatient volumes and revenue growth for some health systems this year, but the jury is still out on its long-term impact on hospital ...
The 2024 Medicare Advantage Final Rule changed inpatient coverage, requiring healthcare providers to reevaluate their patient strategies. Unlike traditional Medicare Part A, Medicare Advantage (MA) ...
Kodiak Solutions said its analysis of hospital inpatient and outpatient claims data suggests that payers are “continuing to apply their own criteria for inpatient admission and dismissing the ...
The Centers for Medicare and Medicaid Services has temporarily suspended its review of short stay patient claims to give reviewers time to improve the standardization around the two midnight rule, CMS ...
A coalition of health-care systems, led by Novant Health Inc., has agreed to another stay in their lawsuit against the secretary of the U.S. Department of Health and Human Services involving the “two ...
The “2-midnight rule” means that for services to be eligible for payment under Medicare Part A, a doctor must state that you will be medically required to stay in a hospital for two midnights. The ...