Final rule CMS-1599-F clarified and revised conditions of payment for hospital inpatient services under Medicare Part A related to patient status. This document provides guidance on provisions regarding required physician order and certification of hospital inpatient services.
Final rule CMS-1599-F modifies and clarifies the Centers for Medicare & Medicaid Services’ (CMS’s) longstanding policy on how Medicare administrative contractors (MACs) review inpatient hospital admissions for payment purposes. This document contains a summary of the direction the CMS has issued to MACs.
In this special edition article, the Centers for Medicare & Medicaid Services (CMS) stresses the importance of staying informed of all CMS national inpatient hospital policy and national and local coverage determinations regarding making a clinical decision to admit a patient. The article was revised July 31, 2012, to reflect current web addresses. [SE1037]
This checklist is an aid to assist providers with responding to medical record documentation requests.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.