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 ...

On August 17, 2018, the Centers for Medicare & Medicaid Services (CMS) published its Hospital Inpatient Prospective Payment Systems final rule for Fiscal Year 2019 (Final Rule). The Final Rule ...

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 ...

When medically complex children are hospitalized, linking hospitalists to their regular outpatient providers through an inpatient consultation service were more likely to improve outcomes, according ...

Among a Medicare population, use of 3 self-reported health items improves predicted inpatient admissions and healthcare costs when used with risk-prediction model. We used data from a Health Status ...