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Tag Archives: inpatient status benchmark
CMS Moves The Inpatient Benchmark to 48 Hours
CMS redefined the benchmark used to determine medical necessity for an inpatient claim typically filed by acute care hospitals for Medicare reimbursement, moving the mark from 24 hours, the long-standing instruction in the Medicare Benefits Policy Manual, to 48 hours, … Continue reading
Posted in Academy Blog
Tagged appeal academy, cert, cert report, CMS, cms rac, CMS-1599, frank cohen, inpatient status, inpatient status benchmark, IPPS, IPPS proposed rule
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