CMS has temporarily “paused” Beneficiary and Family Centered Care (BFCC) Quality Improvement Organizations’ (QIOs) performance of initial patient status reviews under CMS’s “two-midnight policy” for short hospital stays. The pause, which took effect May 4, 2016, was a result of inconsistencies in the BFCC-QIOs’ application of the two-midnight policy and was intended to give CMS time to standardize the BFCC-QIO review process. CMS expects BFCC–QIOs reviews to resume within a few months. CMS also has announced that beginning June 6, 2016, BFCC-QIOs must re-review all short stay patient status claims that were denied under the QIO medical review process. CMS requests that hospitals determine if their denied claims have been re-reviewed by their BFCC-QIO before appealing such a claim denial. Furthermore, a “Policy Decision Guideline flowchart” that will be used to guide the payment decision process is available here.