The proposal from the Centers for Medicare & Medicaid Services to codify the requirement that all Medicare Advantage plans use the Two-Midnight Rule for determining admission status of all patients has some talking that the use of commercial criteria will become obsolete. ...
EDITOR’S NOTE: Listen to Dr. Ronald Hirsch’s live reporting Monday on Monitor Mondays with Chuck Buck at 10 Eastern.
It is time for another multi-topic update. Some weeks produce just too much news to limit my reporting to one topic.
Complaints are abundant from beneficiaries.
Lots to report in this regulatory update.
Earlier this year, a federal appeals court issued an opinion on Barrows v. Becerra, a long-running class action lawsuit. Filed by a group of Medicare beneficiaries, the suit alleged they had to pay out of pocket for skilled nursing care—despite being hospitalized for over three days—because their stay was outpatient and did not meet the ...
Exceptions should be never rare nor unusual.
All eyes are on the new proposal put forth by CMS to create Rural Emergency Hospitals.
Observations, questions and answers during a week of pontification.
Over the past several years, healthcare has begun the move toward the adoption of value-based reimbursement (VBR). The transition is picking up speed as the industry begins to emerge from the COVID pandemic.