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Medicare Advantage Plans Must Follow the Two-Midnight Rule

[11/17/23]

Posted on November 17, 2023 in Health Law News

Published by: Hall Render

The Centers for Medicare and Medicaid Services (“CMS”) Medicare Advantage final rule for 2024 (“Final Rule”) clarified that Medicare Advantage plans must adhere to the “two-midnight rule” when making coverage determinations for inpatient services. However, CMS also stated that care spanning two midnights is not “presumed” appropriate for an inpatient level of care under... READ MORE

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