When a recovery audit contractor denies coverage of an inpatient admission, hospitals have to vigorously appeal just to get paid at the lower outpatient level, according to a column by Andrew Wachler ...

For over a decade, the two-midnight rule has served as an important determinant of whether a hospital inpatient stay is reimbursable by Medicare, as well as a measure of protection for hospitals that ...

All hospitalized patients who need skilled nursing care for one of five major conditions will have their stays covered under a new Medicare bundled payment model — no 3-day inpatient stay required.

“Medicare Does Not Pay Acute-Care Hospitals for Outpatient Services They Provide to Beneficiaries in a Covered Part A Inpatient Stay at Other Facilities (PDF)” [7] MLN Matters article. 1 ...

A pair of chief clinical officers share their strategies for managing length of stay. Managing length of stay in hospitals is a primary concern for chief medical officers and chief clinical officers.

In 2006, the average length of hospital stay for any condition was 4.6 days and the average charge was $24,000, according to the Agency for Healthcare Research and Quality’s Healthcare Cost and ...