CMS Extends Partial Enforcement Delay of Two-Midnight Rule through 2016

August 19, 2015 | Strategic Insights for Health System


The Centers for Medicare and Medicaid Services (CMS) will extend the partial enforcement delay of its "two-midnight" rule through December 31, 2015, states an August 12, 2015, announcement on CMS's website. Originally set to expire on September 30, 2015, the enforcement delay will now bar recovery auditors from conducting patient status reviews for those admitted on October 1, 2015, through December 31, 2015. Beginning on October 1, 2015, CMS intends for quality improvement organizations (QIOs) to assume the responsibility for conducting initial patient status reviews of providers to determine the appropriateness of Part A payment for short stay inpatient hospital claims.

Access Full Content

Contact us today at 610.825.6000.