CMS IPPS 2014 Final Rule

Admit to CM ProtocolImplicationsSome commenters commented that their current processesprovide for admission “to case management” or “to utilizationreview” rather than specifying inpatient admission.Response: “As we discussed above, many public commentsfrom physicians indicated that they believed the physician shouldbe involved in the determination of patient status, and we agree.To reinforce this policy and reduce confusion among hospitals,beneficiaries, and physicians on the differences betweenoutpatient observation and inpatient services, we are providing inthis final rule that the order for inpatient admission must specifyadmission “to or as an inpatient.”Page 50942, IPPS24