2015 IPPS final rule: CMS finalizes MS-DRG changes

November 1, 2014
Strategies for Healthcare Compliance

Quality measures, such as the Hospital Value-Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition (HAC) Reduction Program, form the basis of the 2015 IPPS final rule, released August 4.

Medical necessity: Inpatient admissions and the 2-midnight rule

November 1, 2014
Strategies for Healthcare Compliance

CMS' 2014 IPPS final rule redefined inpatient admissions when it implemented the 2-midnight rule, which requires a validated physician order, documentation of medical necessity, and the expectation of a stay crossing two or more midnights.