The Centers for Medicare and Medicaid Services (CMS) issued regulations applicable to Medicare Advantage (MA) plans—also commonly referred to as managed Medicare or Part C Medicare—in April 2023 (CMS ...

The “2-midnight rule” means that for services to be eligible for payment under Medicare Part A, a doctor must state that you will be medically required to stay in a hospital for two midnights. The ...

Steve Filton, CFO of King of Prussia, Pa.-based Universal Health Services, shares the cautious optimism on CMS’ two-midnight rule as other for-profit CFOs. In 2024, Medicare Advantage plans must ...

The Centers for Medicare and Medicaid Services' January expansion of the two-midnight rule to include Medicare Advantage plans has contributed to higher inpatient volumes and revenue growth in the ...

In the 2014 IPPS Final Rule, CMS finalized its proposal to establish that, “For purposes of payment under Medicare Part A, an individual is considered an inpatient of a hospital, including a critical ...

Kodiak Solutions said its analysis of hospital inpatient and outpatient claims data suggests that payers are “continuing to apply their own criteria for inpatient admission and dismissing the ...