Guidance on Hospital Inpatient Admission Decisions
The Medicare Learning Network® has released MLN Matters Special Edition Article #SE1037, “Guidance on Hospital Inpatient Admission Decisions,” to remind inpatient hospitals that medical documentation they submit must demonstrate the clinical need for the patient to be admitted to the inpatient facility. This documentation must also fully, accurately identify any subsequent care that was provided during the inpatient stay. This article is informational in nature and supports current policy cited in the Medicare Program Integrity and Benefit Policy manuals. The article can be accessed here.
Swing Bed Fact Sheet Now Available in Print
The revised fact sheet titled “Swing Bed” (December 2010), which provides information about the requirements hospitals and Critical Access Hospitals must meet in order to be granted approval to furnish either acute- or Skilled Nursing Facility-level care via a swing bed agreement, is now available in print format from the Medicare Learning Network®. To place your order, click here, scroll down to “Related Links Inside CMS,” and select “MLN Product Ordering Page.”
Ambulatory Surgical Center Fee Schedule Fact Sheet Now Available
The revised publication titled “Ambulatory Surgical Center Fee Schedule” (January 2011) is now available in downloadable format here. This fact sheet is designed to provide education on the Ambulatory Surgical Center (ASC) Fee Schedule and includes information about the definition of an ASC, ASC payment, and how payment rates are determined.
