SCAFP10: The 2021 Basic Evaluation and Management Guidelines for the Hospital Setting

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MODULE #10:

The Two Midnight Rule and Medical Necessity in the Hospital Setting

  • Define the “Two Midnight Rule” clinically
  • Understand the CMS changes associated with the “Inpatient Only List” and how clinical documentation can support the appropriate status of patients
  • State documentation pearls associated with cardio-pulmonary conditions to support medical necessity of a hospital stay and appeal a denial if one occurs 

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