[20151118]IF10264_医疗保险、观察护理和午夜两点规则.pdf

https:/crsreports.congress.gov Updated November 18, 2015Medicare, Observation Care, and the Two-Midnight RuleMedicare cost sharing and posthospital coverage can depend on whether a beneficiary was admitted to the hospital and received treatment as an inpatient or received treatment as an outpatient. Some beneficiaries have been surprised to learn that despite having received treatment overnight in a hospital bed during their hospital stay, they were never formally admitted but instead were under observation as an outpatient. The Two-Midnight Rule implemented by the Centers for Medicare & Medicaid Services (CMS) is intended to clarify to hospitals when an inpatient admission is considered medically necessary. Observation Care Observation care typically is characterized as a component of emergency medicine that allows hospitals to triage patients who do not immediately require an inpatient admission but are too sick to discharge immediately. Under observation, the hospital provides assessment, ongoing short-term treatment, and reassessment before determining whether the patient should be admitted as an inpatient for additional treatment or is well enough to be discharged. However, t