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CMS Two Midnight Rule - Webinar

  • ID: 4899579
  • Webinar
  • May 2019
  • Region: Global
  • 90 Minutes
  • Compliance Online
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
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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.
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