BNA’s Health Care Daily Report™ sets the standard for reliable, high-intensity coverage of breaking health care news, covering all major legal, policy, industry, and consumer developments in a...
Aug. 12 — In a move praised by the hospital industry, the CMS said Aug. 12 it won't allow Recovery Auditor Contractors to conduct patient status reviews of short-term hospital admissions through the end of 2015.
Rick Pollack, the executive vice president of the American Hospital Association, praised the short-term patient status reviews announcement in an Aug. 12 statement.
The AHA is pleased that the Centers for Medicare & Medicaid Services has extended the partial enforcement delay of the two-midnight policy through the end of the year, which would continue to prevent RACs “from issuing inappropriate denials for medically necessary patient care,” Pollack said.
The enforcement delay had been set to expire Sept. 30.
Under the current policy, which the CMS first adopted in 2013, Medicare doesn't fully reimburse hospitals for stays not expected to span at least two midnights. The agency currently prohibits auditors from conducting admission status reviews for claims that would be subject to the two-midnight rule if the hospital has been paid.
With the Aug. 12 announcement from the CMS, that prohibition will extend to the end of the year.
The CMS also recently announced proposed changes to the two-midnight rule itself. Under changes in a July proposed rule, certain stays for which a physician expects a patient to need less than two midnights of hospital care would be payable under Medicare Part A on a case-by-case basis.
Comments on that proposed rule (80 Fed. Reg. 39,200; CMS–1633–P) are due Aug. 31.
To contact the reporter on this story: Michael D. Williamson in Washington at email@example.com
To contact the editor responsible for this story: Janey Cohen at firstname.lastname@example.org
All Bloomberg BNA treatises are available on standing order, which ensures you will always receive the most current edition of the book or supplement of the title you have ordered from Bloomberg BNA’s book division. As soon as a new supplement or edition is published (usually annually) for a title you’ve previously purchased and requested to be placed on standing order, we’ll ship it to you to review for 30 days without any obligation. During this period, you can either (a) honor the invoice and receive a 5% discount (in addition to any other discounts you may qualify for) off the then-current price of the update, plus shipping and handling or (b) return the book(s), in which case, your invoice will be cancelled upon receipt of the book(s). Call us for a prepaid UPS label for your return. It’s as simple and easy as that. Most importantly, standing orders mean you will never have to worry about the timeliness of the information you’re relying on. And, you may discontinue standing orders at any time by contacting us at 1.800.960.1220 or by sending an email to email@example.com.
Put me on standing order at a 5% discount off list price of all future updates, in addition to any other discounts I may quality for. (Returnable within 30 days.)
Notify me when updates are available (No standing order will be created).
This Bloomberg BNA report is available on standing order, which ensures you will all receive the latest edition. This report is updated annually and we will send you the latest edition once it has been published. By signing up for standing order you will never have to worry about the timeliness of the information you need. And, you may discontinue standing orders at any time by contacting us at 1.800.372.1033, option 5, or by sending us an email to firstname.lastname@example.org.
Put me on standing order
Notify me when new releases are available (no standing order will be created)