In CMS
Jan 9th, 2019
Total knee arthroplasty (TKA) is no longer an inpatient-only service for Medicare beneficiaries. This change “allows Medicare payment to be made to the hospital for TKA procedures regardless of whether a beneficiary is admitted to the hospital as an inpatient or as an outpatient, assuming all other criteria are met,” as explained in MLN Matters ...
In Billing
Jul 28th, 2015
by John Verhovshek, MA, CPC The Centers for Medicare & Medicaid Services (CMS) is proposing a change to the “Two-Midnight Rule” enacted Oct. 1, 2013. The rule requires that providers admit patients to inpatient status only if the provider expects the patient will require inpatient care “that crosses at least two midnights.” If the patient ...