Hospital articles
Status Change: Inpatient to Outpatient
Patients can be admitted as hospital inpatients, but upon review it is determined that the patient does not meet inpatient criteria.
Hospital 3-day/1-day payment window
Diagnostic services and non-diagnostic services (related to the admission) rendered during the 3 days prior to an inpatient hospital admission are considered inpatient services and must be included…
Billing for Hospital Part B Inpatient Services - Ancillary Services
Inpatient Part B services include inpatient ancillary services that do not require an outpatient status and are not strictly provided in an outpatient setting.
IPPS Payment for Essential Medicines
In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to essential Medicines. Read this article to learn more.
Private Room Billing
This article provides guidance on billing medically necessary and non-medically necessary inpatient private room accommodations.
Patient Discharge Status Code Reporting
Review this article to learn more about patient discharge status code reporting.
Medical nutrition therapy and diabetes self-management training coverage and billing requirements
Read this article for billing requirements for medical nutrition therapy (MNT) and diabetes self-management training (DSMT) services.
Medical nutrition therapy and diabetes self-management training coverage and billing requirements
Read this article for billing requirements for medical nutrition therapy (MNT) and diabetes self-management training (DSMT) services.
Billing outpatient observation services
Review this article to learn about outpatient observation services.