California Healthline: CMS Delays Enforcement of Inpatient Admission Rule

CMS on Friday announced that it is instructing recovery auditors to wait until Oct. 1 to begin scrutinizing short inpatients stays, one year after a controversial rule on Medicare inpatient admissions governing the audits took effect, Modern Healthcare reports (Carlson, Modern Healthcare, 1/31).

The final rule for the fiscal year 2014 Inpatient Prospective Payment System instituted a time-based presumption period for medically necessary inpatient care. Under the rule, an admission is assumed to be appropriate for a Medicare Part A payment if a physician expects a patient’s treatment to require a two-night hospital stay and admits him or her under that assumption.

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  • LAAAC is managed by St. Barnabas Senior Services; Funded, in part, by Archstone Foundation.
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