ICD10monitor November 8, 2023
Well, I suppose I have given you enough of a break from my writing about Medicare Advantage (MA) plans and the Two-Midnight Rule. Last week, United HealthCare (UHC) released its coverage summary for hospital care for patients with UHC Medicare Advantage.
And despite the many comments that UHC medical directors felt the rule did not apply to them, or that the hospital’s contract with UHC takes precedence, UHC’s policy is that as of Jan. 1, all provisions of the Two-Midnight Rule apply to them. And I have to admit, I was pleasantly surprised to see them specifically describe the Inpatient-Only List and the case-by-case exception. Now, of course, they do not tell us how they will determine the actual need...
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