MM9979 – Clarification of Admission Order and Medical Review Requirements

Provider Action Needed 

Change Request (CR) 9979, from which this article was developed, clarifies the rulemaking language of the Centers for Medicare & Medicaid Services (CMS) as it relates to “Admission and Medical Review Criteria for Hospital Inpatient Services Under Medicare Part A; Requirements for Physician Orders.” The updated language will be added to Chapter 1, Section 10.2 (Hospital Inpatient Admission Order and Certification) of the “Medicare Benefit Policy Manual” (Pub. 100-02).

Provider Types Affected 

This MLN Matters® Article is intended for physicians submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.

View or download the full notice here.

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