WebJun 14, 2024 · RAC Audit Update: Renewed Focus on the Two-Midnight Rule. In RAC news, on June 1, 2024, Cotiviti acquired HMS RAC region 4. Don’t be surprised if you see Cotiviti’s logo on RAC audits where you would have seen HMS. This change will have no impact in the day-to-day contract administration and audit timelines under CMS’ guidance. WebFeb 9, 2024 · Healthcare Reimbursement Changes: The Phase-Out of the IPO List and the Two-Midnight Rule. In the 2024 OPPS/ASC final rule, CMS announced it was phasing out …
Outpatient and virtual health care trends Deloitte Insights
WebSep 8, 2015 · More recent rule changes. The latest proposed changes to the rule acknowledges physicians' medical judgment and restores case-by-case assessment for inpatients expected to stay less than two ... WebMay 25, 2024 · In October 2015, CMS released the 2016 Hospital Outpatient Prospective Payment System (OPPS) final rule, which finalized changes to the two-midnight rule, … taiwan coastline
Total Knee Replacement: The Inpatient-Only List and the Two Midnight …
WebOct 3, 2024 · Ariel Skelley / DigitalVision / Getty Images The Two-Midnight Rule . Before the Two-Midnight Rule, hospital stays were based on medical need. Simply put, if you had a … WebBackground: In November 2024, CMS finalized the 2024 Medicare Outpatient Prospective Payment System rule that removed TKA from the Medicare inpatient-only (IPO) list. This action had significant and unexpected consequences. Methods: We looked at 3 levels of the IPO rule impact on TKA for Medicare beneficiaries: a national comparison of FFS inpatient … WebJun 1, 2024 · The bottom line is that it’s vitally important to make sure your UR team is using the two-midnight rule and only the two-midnight rule for Medicare patients. And I think … taiwan coat of arms