Buried in a House of Representatives bill to delay Medicare payment cuts for physicians or craft a new payment formula is not only language to delay the ICD-10 compliance date to October 2015, but to further delay enforcement of the “two-midnight” payment rule for certain hospital stays.

Under the two-midnight rule, Medicare will not reimburse hospitals under Part A for inpatient-level services provided to Medicare beneficiaries for treatment that does not span two midnights. The Centers for Medicare and Medicaid Services considers such treatment to be outpatient and payable under Part B.

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