When a Medicare recipient comes to a medical facility in requirement of medical or surgical care, the doctor or other certified professional needs to choose whether to confess the recipient as an inpatient or treat him or her as an outpatient.
These choices have considerable ramifications for medical facility payment and recipient expense sharing. Not all care offered in a healthcare facility setting is suitable for inpatient, Part A payment.
Terry goes over the 2-midnight guideline, and how that effects both Part A and Part B suppliers and clients. There is more to think about than satisfies the eye.
Terry likewise covers what CMS just recently released in the Final Rule for MA strategies.
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