Medical Journal Houston - Page 4

Medical Journal - Houston Page 4 May 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proposed rule will eliminate and offset reduction resulting from Two Midnight Policy . . . . . . . . . . . . . . . LEGAL AFFAIRS rates annually. BY MARY M. BEARDEN AND ALLISON SHELTON, Brown & Fortunato, P.C. The Centers for Medicare and Medicaid Services (CMS) announced a proposal to remove and offset the 0.2 percent rate cut that was adopted as part of the “two midnight” rule in FY 2014. On April 27, 2016, CMS published a proposed rule (Proposed Rule) to update payment policies and rates for the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) in FY 2017. Under the IPPS, CMS prospectively establishes payment rates based on diagnosis and severity of illness. Based on these payment classifications, CMS will generally pay a hospital a single payment for a particular case. CMS adjusts the payment The Proposed Rule discusses the proposed annual update to the payment rates. Under the IPPS, CMS proposes a 0.9 percent rate increase for hospitals that participate in the Hospital Inpatient Quality Repor ting Program and that are meaningful users of electronic health records. To calculate the proposed rate increase, CMS took into account the following factors: the annual market basket update; a 1.5 percent reduction for documentation and coding as required by the American Taxpayer Relief Act of 2012; and a 0.8 percent increase that is designed to remove and offset the 0.2 percent reduction that was implemented as part of the two-midnight rule. CMS adopted the two midnight rule in the IPPS Final Rule for FY 2014. Under the two midnight rule, Medicare Part A will generally cover an inpatient admission if the patient is reasonably expected to need hospital care for at least two midnights. When a patient is expected to need less than two midnights of hospital care, then services furnished to the patient should be billed as outpatient services. In 2015, CMS modified an exception to the two midnight rule. Under the current exception, if documentation in the medical records supports an admitting p r a c t i t i o n e r ’s conclusion that a patient requires inpatient services, then Medicare Part A will cover the inpatient services on a case-by-case basis, even though the patient’s length of stay is expected to be less than two midnights. New models now open! Avalon at Sienna Plantation In Missouri City • Gated Section • Waterfront Home Sites 60’ Chateau Series From the upper $300s 2,741 to 3,822 sq ft 70’ Legacy Series From the upper $400s 3,265 to 4,153 sq ft 80’ Inspired Series From the low $600s 3,741 to 5,623 sq ft Meridiana Premier community along the 288 Corridor 65’ Chateau Series From the $300s 2,741 to 3,822 sq ft Contact our New Home Matchmakers to schedule an appointment: 281-780-4652 *Prices, promotions, incentives, features, options, amenities, floor plans, elevations, designs, materials and dimensions are subject to change without notice. Valid in Taylor Morrison Houston division only. For further information, please see a Taylor Morrison Sales Associate and review our Terms of Use. This is n Ёɥхєݡɔɽѕ)ѡݥ͔ɕɥѕ䁱ܸQ屽ȁ5ɥͽɕٕѡЁյɥ͍ɔѡUѕMхѕ́ɽɥх1ѽ)I͕ɍ؁ɥé5ЁQѕQ4! եȁՑ丁MՑ䁉͕ɥ́ɕѥ́յ)ٕ啐ݕ)Յ䁅ȀԸȁՑ䁑х̰Ѽܹѽɕ͕ɍ+ 5ذQ屽ȁ5ɥͽQ̰%ɥ́ɕ͕ٕ()]ѡݼЁձ݅́ѥ)ѕ 5Lѕͥ)ɕ͔ѡյȁѥЁх̸)ՔѼѡѕɕ͔ѥѥ) 5Lѥѕɕ́Ѽɕ͔)䀐dиQ͕Ёѡ)ѕɕ͔ɕ̰ 5L)ѕɵЁɕՍѥ)ɍЁѼѡ嵕ЁɅѕ́չȁѡ)%AAL)ѕȁѡݼЁձ݅́ѕ)͕ٕɅх́եЁѼ)ѡɅєи)%Ḿ)ͽ٥)5 ѕȁ%ظ ݕѡTL)ɥЁ ЁȁѡɥЁ յ)ѕɵѡЁ 5Lѡѡɥ)ѼЁѡɅєи!ݕٕȰѡ)ЁչɽɅɽ́ݥѠ 5Oe)ѥѡȁɍЁɅєЁ)ɑɕ 5LѼɕЁѡ)ɕͥȁѡѵиQӊe)ɑȁ݅́ՕMѕȀİԸ)%ɑݥѠѡӊéɑȰ 5L)Չ͡ѥݥѠЁɥ)ȀİԸQѥ͍͕ѡ)ͥ́ѡȁɍЁɕՍѥ ͕)Չ́ѡȁͥɅѥ̰) 5Lɽ͕́Ѽɽѥٕɕٔѡ(ȁɍЁɅєɕՍѥѼɽ٥)A͔͕10%IL()Q屽ȁ5ɥͽ́ɕ镐()5I% eL)5=MS!QIUMQ)!=5! U%1H()Q4()1ѽI͕ɍ()]Ёɕ)ՔѕхЁѼѡ)ݽɬѡͥ)ٕѕ)ȁЁQ屽ȁ5ɥͽ)AЁȁЁ)Q屽ȁ5ɥͽЁ)ͥȁե)ݽɬȁԄ((