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CMS Two Midnight Rule

 

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  • LIVE + RECORDED VERSION

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About The Event

 Attend this webinar to learn the CMS new regulation "the two midnight rule" and what are the medical and financial outcomes of the rule and how to apply the rule correctly to remain CMS compliant and the Controversial of the rule.

 

CMS Two Midnight Rule

 
 Attend this webinar to learn the CMS new regulation "the two midnight rule" and what are the medical and financial outcomes of the rule and how to apply the rule correctly to remain CMS compliant and the Controversial of the rule.

Why Should You Attend:

The “two–midnight rule” has been controversial since CMS first announced it in 2013. It was created in response to the Recovery Audit (RAC) claim reviews recovering high error rates for medically unnecessary Part A inpatient services. which should had been submitted by the provider as Part B outpatient services.

Medicare inpatient prospective final rule, CMS included a new regulation: the two midnight rule. It is extremely important from a Medical Necessity standpoint and fiscally. There needs to be a good understanding of how to apply the rule correctly to remain CMS compliant

Areas Covered in the Webinar:

  • Explanation and Interpretation of the Rule
  • Medical and Financial outcomes of the rule
  • Use cases on how to properly apply the rule
  • Controversy

Who Will Benefit:

  • Physicians
  • Registered Nurses
  • Nurse Case Managers
  • Clinical Social Workers
  • Utilization Management and Revenue Cycle Leadership

Instructor Profile:

Bernadette. A Benta, MSHA, BSN, RN is a Strategic Leader and Subject Matter Expert with twenty years of Operational experience in Care Management , Utilization Review and also works to develop Population Management programs.

She is a seasoned Consultant on both in Acute Care hospitals, Managed Care Organizations and serves as a Clinical Liaison of for Revenue Management programs. Ms. Benta possesses expert knowledge of Medicare and state-specific Medicaid knowledge, and does some does some SME work for the government. She has proven experience in building departments from the ground up and improving process in both payer and health system settings and identifying trends which impact service delivery for quality improvement and solutions to non-standard requests and problems. Seasoned Nationwide Healthcare consultant.

 

Topic Background:

The Two Midnight Rule has been in effect since October 1, 2013 with updates for implementation since October 30, 2015. However it has been controversial from the beginning.

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