Inpatient MS-DRG
Modified: 3/14/2018
Learn the answers to providers’ most frequently-asked questions pertaining to inpatient admissions and diagnosis-related groups.
Modified: 7/19/2018
The Centers for Medicare & Medicaid Services (CMS) plans to issue guidance to Medicare administrative contractors (MACs). The guidance CMS issues for determining the appropriateness of inpatient hospital admission and payment language will provide further guidance on the FY 2014 Hospital IPPS Final Rule CMS-1599-F. This regulation described two distinct, although related, medical review policies: a two-midnight presumption and a two-midnight benchmark. This article was updated November 27, 2013, to add a potential exception to the two-midnight rule.
Modified: 6/21/2018
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]
Modified: 3/19/2018
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.
Modified: 3/16/2018
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.
Modified: 3/14/2018
This checklist is an aid to assist providers with responding to medical record documentation requests.
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