Hospital articles
Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original…
Inpatient admitted prior to entitlement
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an inpatient stay.
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.
Long term care facility prospective payment system standard versus site neutral payment
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH) patients. This article provides those details.
Hospital CMS internet-only manuals (IOMs)
Information pertaining to Part A hospitals -- Centers for Medicare & Medicaid Services (CMS) internet-only manuals (IOMs).
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.