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Last Modified: 11/26/2020 Location: FL, PR, USVI Business: Part A

Guidance on hospital inpatient admission decisions

Effective date: N/A
Implementation date: N/A


The Centers for Medicare & Medicaid Services (CMS) is stressing the importance of staying abreast of all CMS national inpatient hospital policy and national and local coverage determinations in making a clinical decision to admit the patient. Additionally, make sure submitted medical documentation demonstrates evidence of the clinical need for the patient to be admitted to the inpatient facility and fully and accurately identifies any subsequent care that was provided during the inpatient stay.
To assist hospitals regarding inpatient admission decisions, CMS refers hospitals to the following resources for guidance:
Here is the link to the special edition MLN Matters® article SE1037 external pdf file.
Source: SE1037
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