Document was reportedly not to be shared with providers An internal Centers for Medicare & Medicaid Services (CMS) memo on inpatient admission orders has come into possession of RACmonitor.  The memo, dated Oct. 3, was written to “clarify” the 2019 fiscal year Inpatient Prospective Payment System (IPPS) final rule for…
Monday was the last day that CMS could have finalized the rule changes, per law. Three years ago this week, the hospital case management world was sent into turmoil by the release of CMS-3317-P, a 125-page Centers for Medicare & Medicaid Services (CMS) proposed rule titled “Revisions to Requirements for…
CMS removed the admission order as a condition of payment effective Oct. 1, 2018. The change in the 2019 Inpatient Prospective Payment System (IPPS) Final Rule concerning the inpatient admission order has created more controversy than I expected. When I read the proposed and final rules, wrote my RACmonitor articles…
2019 IPPS removes requirement for authentication of admission orders prior to discharge. EDITOR’S NOTE: This is the second and final installment of a two-part series. By Ronald Hirsch, MD, FACP, CHCQM Last week I tackled the easy part, interpreting the new Centers for Medicare & Medicaid Services (CMS) regulations on…
Change to the inpatient admission order considered to be major. Late last week, the Centers for Medicare & Medicaid Services (CMS) released the Inpatient Prospective Payment System Final Rule, which becomes effective on Oct. 1. It’s 2,593 pages, so get reading. I have to commend the CMS staff for their…
Changes to the inpatient admission order regulations are significant  The Centers for Medicare & Medicaid Services (CMS) has posted the 2019 Inpatient Prospective Payment (IPPS) Final Rule, which changes inpatient admission order regulations. The Final Rule was published Thursday in the Federal Register. “The inpatient admission order regulations are a…