CMS identified the practitioner order to admit as an inpatient as the first step in the physician certification. The ordering practitioner must be (a) licensed by the State to admit inpatients to ...

Under CMS’s modified inpatient admission guidelines adopted in the IPPS Final Rule, Part A payment is “generally inappropriate” unless the patient is admitted based on the physician’s expectation that ...

The Centers for Medicare & Medicaid Services last week issued guidelines addressing concerns with new requirements for admission and medical review criteria for hospital inpatient services under ...

This past summer when the first Recovery Audit Contractor (RAC) approved the issue "inpatient admissions without a physician's inpatient admit order," it placed an impetus on hospitals to tighten up ...

Inpatient acute care hospital billing staff need to make sure medical documentation submitted demonstrates evidence of the clinical need for patients to be admitted and that it fully and accurately ...