Guidance for Medicare Administrative Contractors (MACs) Processing Beneficiary and Family Centered Care (BFCC) Quality Improvement Organizations (QIO) Two-Midnight (2MN) Short Stay Review (SSR) Determinations
The purpose of this Change Request (CR) is to prevent duplicate billing of professional claims from CAHs and professional physicians that were identified in the Office of Inspector General (OIG) Report: Duplicate Medicare Professional Fee Billing by Both the Critical Access Hospital (CAH) and Health Care Practitioner to Medicare Part B (A-06-21-05003).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 30, 2025
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