The Centers for Medicare and Medicaid Services (CMS) issued regulations applicable to Medicare Advantage (MA) plans—also commonly referred to as managed Medicare or Part C Medicare—in April 2023 (CMS ...

Medicare uses the 2-midnight rule to determine whether to bill a hospital stay under Part A or Part B. This rule has implications for both costs and coverage. Original Medicare consists of Part A ...

The Centers for Medicare and Medicaid Services' January expansion of the two-midnight rule to include Medicare Advantage plans has contributed to higher inpatient volumes and revenue growth in the ...

CMS’ expansion of the two-midnight rule led to increased inpatient volumes and revenue growth for some health systems this year, but the jury is still out on its long-term impact on hospital ...

In the 2014 IPPS Final Rule, CMS finalized its proposal to establish that, “For purposes of payment under Medicare Part A, an individual is considered an inpatient of a hospital, including a critical ...

For over a decade, the two-midnight rule has served as an important determinant of whether a hospital inpatient stay is reimbursable by Medicare, as well as a measure of protection for hospitals that ...

Kodiak Solutions said its analysis of hospital inpatient and outpatient claims data suggests that payers are “continuing to apply their own criteria for inpatient admission and dismissing the ...

A coalition of health-care systems, led by Novant Health Inc., has agreed to another stay in their lawsuit against the secretary of the U.S. Department of Health and Human Services involving the “two ...

Wake Forest Baptist Medical Center is among four hospitals leading a national lobbying effort aimed at halting federal enforcement of what is known as the “two midnight” policy. The policy is focused ...

The Centers for Medicare & Medicaid Services is holding a special Open Door Forum conference call at 1 p.m. (Eastern Time) Tuesday to discuss the “two-midnight” hospital inpatient policy. Callers also ...

The 2-midnight rule clearly stated that treatment decisions were completely down to the medical team and that it should not prevent them from giving any treatment or service they consider medically ...

The “2-midnight rule” means that for services to be eligible for payment under Medicare Part A, a doctor must state that you will be medically required to stay in a hospital for two midnights. The ...