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MAC reviews of 2-midnight compliance make strong case
for documentation

from AISHealth

Hospitals are starting to get results from Medicare reviews of compliance with the two-midnight rule, and it's clear that documentation is once again their best defense from claim denials. That doesn't always mean Medicare administrative contractors (MACs) are consistent in their findings in the "probe and educate" program, which at the moment is CMS's main vehicle for gauging the medical necessity of admissions under the two-midnight rule. more

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