A bipartisan bill has been introduced in the U.S. Senate that would establish new guidelines for the Centers for Medicare and Medicaid Services by addressing the so-called “two midnight rule” issued last year by CMS. Part of the 2014 Inpatient Prospective Payment System finalized in August, under the new rule a Medicare beneficiary is automatically deemed to be an inpatient if their hospital stay spans more than two consecutive midnights.  

"While this approach addresses some longstanding issues for beneficiaries requiring longer hospital stays, it fails to acknowledge instances where it is medically necessary for a beneficiary to receive inpatient services for a period spanning less than two midnights," stated Senators Robert Menendez (D-N.J.) and Deb Fisher (R-Neb.) in a joint announcement.

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