IPPS Proposed Changes Clarify Three-Day Rule

James Carroll, for HealthLeaders Media , May 16, 2011

In August, CMS plans to release further clarifying instructions in the physician fee schedule proposed rule. Until then—while providers are waiting for this guidance—Hoy suggests keeping an eye on the issue.

"I would recommend that these cases are tracked internally until the physician fee schedule rule is issued to ensure that hospitals have the information for billing or rebilling the physician portion, as appropriate, under the new guidance in that rule."

See Also:

RAC: The Problem with the Three-day Rule
AHA: Observation Status Fears on the Rise

Hospitals Caught Between a Rock and a Hard Place Over 'Observation'


James Carroll is associate editor for the HCPro Revenue Cycle Institute.
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