What are the implications for providers?
The Centers for Medicare & Medicaid Services, as of 10/1/18, eliminated the requirement that a signed physician order needs to be in the medical record to set up inpatient coverage. It may seem like this change in guidance does away with one technical basis for denials, however it doesn’t remove the need for evidence that a physician judged a patient in need of inpatient services. This white paper reviews this changed in requirements; and discusses implications for providers.
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