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Guidance on Hospital Inpatient Admission Decisions

It is important that any staff involved with the clinical decision to admit the patient
stay abreast of all CMS national inpatient hospital policy and National and Local
Coverage Determinations. Additionally, make sure medical documentation
submitted demonstrates evidence of the clinical need for the patient to be admitted
to the inpatient facility and fully and accurately identifies any subsequent care that
was provided during the inpatient stay.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 25, 2011

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.