Hospitals fight two-midnight rule

The American Hospital Association is taking steps toward legal action against the Centers for Medicare & Medicaid Services' two-midnight rule regarding patient admissions, as well as cuts to the Inpatient Prospective Payment System, AHA News Now reported. The hospitals allege that the federal agency hasn't provided a reasonable explanation for the action and failed to follow regulations regarding proper notice and comment. Under the new rule, hospitals must admit patients as inpatients for at least two consecutive midnights in order to get beyond the short-stay threshold, a red flag for auditors. As part of the two-midnight rule, CMS has ordered Recovery Audit Contractors not to review any short-stay claims that span beyond two midnights for both acute care and critical access hospitals. Article

Suggested Articles

The profit margins and management of Community Health Group raise questions about oversight of managed care insurers.

Financial experts are warning practices about the pitfalls of promoting medical credit cards to their patients.

A proposed rule issued by HHS on Tuesday would expand short-term coverage, a move Seema Verma said will have "virtually no impact" on ACA premiums.