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Two-Midnight Rule Creates Financial Hurdles, Perverse Incentives



The controversial two-midnight rule goes into effect tomorrow, creating new economic challenges for hospitals and health systems. Reimbursements will drop for the same level of care, say healthcare leaders, who will be forced to choose between doing what's right and gaining revenue.



1 comments on "Two-Midnight Rule Creates Financial Hurdles, Perverse Incentives"
Myers Glower Michelle (10/1/2013 at 11:41 PM)

All the more reason for nursing care managers to review all admissions from the ED at point of entry to get the admission status correct. However, it cannot stop there. As the patient enters the system, further testing, may reveal more information resulting in a dx that converts to inpatient. In addition, patient objective symptoms may equate to conversion as well. It will take concurrent reviews at 100% through a time sensitive process. Physicians will need to be on board and hospitalist can no longer use two days as a work up for the what if's? Potentially this can have a huge impact on patient satisfaction scores and liability in discharging within the two day rule.