Product of the week: Medical Necessity 2014: Inpatient Admissions and the 2-midnight Rule
HIM-HIPAA Insider, June 2, 2014
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CMS’ 2014 IPPS Final Rule redefined the criteria for inpatient admission when it implemented the 2-midnight rule, requiring physicians to document medical necessity for inpatient stays of two or more midnights. To determine compliance with the rule, MACs are conducting probe audits of inpatient claims with admission dates on or after October 1, 2013.
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