Emergency departments are now responsible for half of all inpatient admissions and accounted for nearly all the increases in admissions between 2003 and 2009, according to a new report from Rand ...

Inpatient acute care hospital billing staff need to make sure medical documentation submitted demonstrates evidence of the clinical need for patients to be admitted and that it fully and accurately ...

Under CMS’s modified inpatient admission guidelines adopted in the IPPS Final Rule, Part A payment is “generally inappropriate” unless the patient is admitted based on the physician’s expectation that ...

On August 17, 2018, the Centers for Medicare & Medicaid Services (CMS) published its Hospital Inpatient Prospective Payment Systems final rule for Fiscal Year 2019 (Final Rule). The Final Rule ...

Patients using only in-network facilities still have at least 1 claim from an out-of-network provider in over 15% of inpatient admissions, according to an analysis from the Kaiser Family Foundation.

Critical care transition clinic patients with chronic conditions had a 31% reduction in relative risk for inpatient admissions, and the clinic reduced cost by more than $1 million. Objectives: ...

This past summer when the first Recovery Audit Contractor (RAC) approved the issue "inpatient admissions without a physician's inpatient admit order," it placed an impetus on hospitals to tighten up ...

In 2020, the CDC released research that uncovered troublesome trends in mental health of American children, including rising utilization levels for acute mental health care services among pediatric ...