Hospital articles

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Hospital -- additional resources

Information pertaining to inpatient and outpatient hospital resources.

Checklist: Inpatient admission documentation

This checklist is an aid to assist providers with responding to medical record documentation requests.

Checklist: Inpatient admission documentation

This checklist is an aid to assist providers with responding to medical record documentation requests.

Availability of the list of essential medicines considered to be in shortage for the purposes of the recently finalized separate IPPS payment for establishing and maintaining access to 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.

Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders

Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted and finalized.

Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders

Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted and finalized.

Hospital off-campus outpatient department reporting requirements

Read this article to learn more about hospital off-campus outpatient department reporting requirements.

Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on file

Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on…

Inpatient hospital short stay reviews

Inpatient hospital short stay patient status reviews for acute care inpatient hospitals, long-term care hospitals, and inpatient psychiatric facilities.

Critical access hospital (CAH) method II professional reassignment deadline is January 1

Beginning January 2, 2026, CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II…