The CMS will no longer require INPATIENT "Certification" effective January 1, 2015. Therefore, effective 12/6/2014, "Certification" forms will not be placed on charts for completion.
A VALID INPATIENT ORDER, SIGNED BEFORE DISCHARGE, IS STILL REQUIRED
The requirements for "Certification" WILL REMAIN for outlier patients as defined below and a form may be developed in the future.
42CFR 424.13 Requirements for inpatient services of hospitals
Timing of certification and recertification:
Certification is required no later than one day after the hospital reasonably assumes that the case meets cost outlier criteria or no later than 20 days into the hospital stay. Subsequent re-certifications are required at intervals not less frequently than every 30 days.
Content of certification and recertification.
- Reasoning for continued hsopitalization of the patient for medical treatment or medically-required inpatient diagnostic study; or
- Reasoning for special or unusual services for cost outlier cases
- The estimated time the patient will need to remain in the hospital.
- The plans for post hospital care.
Please call Case Management if you have any questions @ 352-351-7208.