FY 2014 IPPS/LTCH PPS Final Rule Goes Into Effect October 1, 2013

In This Issue:

- What Providers Should Know

- Requirements for Inpatient Admissions and Payment Under Medicare Part A

- New Rules Permitting Re-billing Under Medicare Part B for Denied Admissions

- New HAC Reduction Program

- Limitations on LTCH Payments

- For More Information

- Excerpt from What Providers Should Know:

Inpatient Admissions-

Although CMS delayed enforcement of the 2-midnight rule (as described further below) until January 1,2014, hospitals should have policies and procedures in place to ensure that any inpatient admissions reimbursed under Medicare Part A occur only pursuant to a physician order that is based on an anticipated inpatient stay that spans two midnights and for which the hospital has appropriate physician certifications/recertifications. To prepare for the January 1, 2014 enforcement start date of the 2-midnight rule, hospitals may want to consider changing documentation forms to ensure that the required orders occur prior to admission and that the appropriate certifications/ recertifications occur before discharge.

Please see full Newsletter below for more information.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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