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2-Midnight Rule and MA plans

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Manage episode 403466879 series 2490675
Innhold levert av Terry Fletcher. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Terry Fletcher eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.

When a Medicare beneficiary arrives at a hospital in need of medical or surgical care, the physician or other qualified practitioner must decide whether to admit the beneficiary as an inpatient or treat him or her as an outpatient.

These decisions have significant implications for hospital payment and beneficiary cost sharing. Not all care provided in a hospital setting is appropriate for inpatient, Part A payment.

Terry discusses the 2-midnight rule, and how that impacts both Part A and Part B providers and patients. There is more to consider than meets the eye.

Terry also covers what CMS recently published in the Final Rule for MA plans.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post 2-Midnight Rule and MA plans appeared first on Terry Fletcher Consulting, Inc..

  continue reading

56 episoder

Artwork
iconDel
 
Manage episode 403466879 series 2490675
Innhold levert av Terry Fletcher. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Terry Fletcher eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.

When a Medicare beneficiary arrives at a hospital in need of medical or surgical care, the physician or other qualified practitioner must decide whether to admit the beneficiary as an inpatient or treat him or her as an outpatient.

These decisions have significant implications for hospital payment and beneficiary cost sharing. Not all care provided in a hospital setting is appropriate for inpatient, Part A payment.

Terry discusses the 2-midnight rule, and how that impacts both Part A and Part B providers and patients. There is more to consider than meets the eye.

Terry also covers what CMS recently published in the Final Rule for MA plans.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post 2-Midnight Rule and MA plans appeared first on Terry Fletcher Consulting, Inc..

  continue reading

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