Clarification of the Two-Midnight Rule: A Win for Physician Advisory
The 2024 Medicare Advantage Final Rule clarifies that Medicare Advantage (MA) plans must follow the Two-Midnight Rule set in 2013, and more. … Read More
October 25, 2023
AUTHOR ARCHIVE:
Dr. Khiet Trinh, Chief Physician Advisor
Dr. Trinh is a board-certified family physician also board-certified in physician advisory. Prior to joining Ensemble, Dr. Trinh was the Chief Medical Officer for Bon Secours Health System.
Author archive:
Changes to the CMS Inpatient Only List
Procedures added or deleted from the Inpatient-Only List directly impact the financial health of hospitals. … Read More
March 12, 2021
Out of the Dark: Breaking Down the Two-Midnight Rule
This guide explains the Two-Midnight Rule, one of the most impactful rules affecting hospital’s financial and compliance well-being. … Read More
August 12, 2020
COVID-19 and Sepsis: Demystifying Denials During the Pandemic
Take a closer look at how hospitals should approach defining the septic patient and demystify why denials are occurring. … Read More
July 1, 2020
Operator Insights: Negotiating Better Payer Contracts
How to use your back-end denials to improve your front-end process, and other tips for negotiating better payer contracts. … Read More
February 5, 2020