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Clarification of Admission Order and Medical Review Requirements

Change Request (CR) 9979, from which this article was developed, clarifies the rulemaking
language of the Centers for Medicare & Medicaid Services (CMS) as it relates to
“Admission and Medical Review Criteria for Hospital Inpatient Services Under Medicare
Part A; Requirements for Physician Orders.” The updated language will be added to
Chapter 1, Section 10.2 (Hospital Inpatient Admission Order and Certification) of the
"Medicare Benefit Policy Manual" (Pub. 100-02).

Download the Guidance Document

Final

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

Issue Date: March 10, 2017

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.