Practice Management CMS

CMS Posts Guidance on Two-Midnight Policy, Audits

Centers for Medicare & Medicaid Services has released updated guidance on "probe and educate" audits related to the two-midnight rule. CMS is asking Medicare administrative contractors to re-review all claim denials to date under the agency's probe and educate process to ensure the claim decision and subsequent education is consistent with clarifications CMS released January 30 concerning the physician order and physician certification requirements for hospital inpatient admissions. Read more ...