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America’s Essential Hospitals Urges CMS to Delay Enforcement of Two-midnights Policy

America’s Essential Hospitals urged the Centers for Medicare & Medicaid Services (CMS) to delay enforcement of the two-midnights policy until Oct. 1, 2014, in a Nov. 20 letter. The two-midnights policy was finalized in the fiscal year 2014 Inpatient Prospective Payment System (IPPS) final rule. The revised inpatient admission guidelines and medical review criteria for the two-midnights policy create a presumption that inpatient admissions that last fewer than two midnights are inappropriate for inpatient reimbursement. In the letter, America’s Essential Hospitals stated that some patients’ needs necessitate care in the inpatient hospital setting, even if their hospital stays may not last two midnights.

America’s Essential Hospitals will continue to work with our members and the administration to identify types of stays that would be appropriate for inpatient reimbursement regardless of the length of stay. Contact Xiaoyi Huang, assistant vice president for policy, at or 202-585-0127 with questions.


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