Lauren Gennett

King & Spalding

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Latest Posts › Two-Midnight Rule

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OIG Announces Resumption of Medicare Inpatient Short Stay Audits

In its November 2020 Work Plan update, OIG announced it will begin auditing short stay inpatient hospital claims under the Two Midnight Rule, and when appropriate, recommend overpayment collections. OIG does not specify the...more

12/2/2020 / Audits , Centers for Medicare & Medicaid Services (CMS) , Medicare , OIG , Overpayment , Two-Midnight Rule

CMS Proposes Changes to Inpatient Admission Orders in 2019 IPPS Proposed Rule

On April 24, 2018, the Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year (FY) 2019 Inpatient Prospective Payment System (IPPS) Proposed Rule (CMS-1694-P). Among other changes, CMS proposes eliminating...more

5/1/2018 / Centers for Medicare & Medicaid Services (CMS) , Inpatient Prospective Payment System (IPPS) , Medicaid , Medicare , Medicare Part A , Two-Midnight Rule

CMS Announces Expansion of Targeted Probe and Educate Medical Review Strategy

On August 14, 2017, CMS announced an expansion of a Targeted Probe and Educate (TPE) review strategy for Medicare Administrative Contractors (MAC) reviews. Many providers were familiar with Probe and Educate reviews in...more

8/24/2017 / Centers for Medicare & Medicaid Services (CMS) , Medicare , Medicare Administrative Contractors (MAC) , Two-Midnight Rule

CMS Updates the Medicare Program Integrity Manual to Reflect Patient Status Reviews Under the Two Midnight Rule

Although the Two Midnight Rule became effective on October 1, 2013, CMS had not updated manual guidance to incorporate the Two Midnight Rule until recently. The CMS updated the Medicare Benefit Policy Manual earlier this...more

6/9/2017 / Centers for Medicare & Medicaid Services (CMS) , Medicare , Two-Midnight Rule

CMS Updates Manual Guidance to Include References to the Two Midnight Rule

Although the Two Midnight Rule was effective October 1, 2013, until recently, CMS had not updated the Medicare Benefit Policy Manual (MBPM) to incorporate the Two Midnight Rule and its revisions to prior admission...more

2/20/2017 / Centers for Medicare & Medicaid Services (CMS) , Medicare , Medicare Benefit Policy Manual , Two-Midnight Rule

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