Versalus Health Blog

Aligning Payor-Provider UR Practices – Proceed with Caution!

 Aligning Payor-Provider UR Practices – Proceed with Caution!

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You Can’t Get the Right Answer if You Don’t Ask the Right Question

In 2013, the Centers for Medicare and Medicaid Services (CMS) finalized the “Two-Midnight” Rule addressing when beneficiary hospitalizations are appropriate for inpatient payment under Medicare...

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Vulnerabilities Remain Under Medicare’s 2-Midnight Policy

In 2016, the Office of the Inspector General (OIG) published a report, “Vulnerabilities Remain Under Medicare’s 2-Midnight Policy”, summarizing the first findings of hospital billing patterns...

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