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Ohio Medicaid adopts three-day window

USA - October 22 2015 The Ohio Department of Medicaid amended the hospital definitional regulation, Ohio Administrative Code 5160-2-02, to adopt for the first time a…

Two-Midnight Rule update: CMS issues proposed rule to clarify when inpatient admissions are appropriate for payment under Medicare Part A

USA - July 8 2015 On July 1, in order to clarify when inpatient admissions not projected to last more than two midnights are appropriate under Medicare Part A, the…

Beatrice M. Nokuri.

Ohio hospitals: how to ensure payment for inpatient hospital admissions by an advanced practice nurse or physician assistant

USA - August 5 2014 Historically, only physicians, dentists and podiatrists have been authorized under Ohio law to admit patients to a hospital. This sometimes resulted…

Catherine M. Ballard, Beatrice M. Nokuri, Kimberly S. Parks.

CMS implements new conditions for payments related to inpatient hospital admissions

USA - September 16 2013 The Hospital Inpatient Prospective Payment System (IPPS) Fiscal Year 2014 final rule implements a new Medicare hospital PPS admissions regulation, 42…

Medicare recovery audit prepayment review to begin on August 27, 2012

USA - August 24 2012 The Medicare prepayment review demonstration project, proposed by CMS in November 2011, originally set to begin on January 1, 2012, and then delayed on December 29, 2011, will begin on August 27, 2012.