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CMS urged to delay enforcement of two-midnight policy until Oct. 1

November 22, 2013

The AHA and American Medical Association (AMA) recently asked the Centers for Medicare & Medicaid Services (CMS) to delay enforcement of Medicare’s “two midnight” policy until Oct. 1, 2014. The policy calls for hospital stays that span two or more midnights to be considered “reasonable and necessary” for inpatient status.

In their Nov. 8 letter, the AHA and AMA told the agency that providers need more time to come into compliance with the two-midnight policy. They said providers need additional time to reevaluate current policies, update existing electronic medical record systems and alter work flow processes.

Also, physicians will need extensive education and time to adapt to the new order and
certification requirements, the associations told CMS.

In addition to the enforcement delay, the AHA and AMA urged the agency to meet with stakeholders to come up with other approaches that can address the trend of increased observation care and its impact on hospitals, physicians and patients.

For more on the letter, click on:
http://tinyurl.com/py35w2w.