The CMS Two-Midnight Rule and Medical Necessity

Apply the concepts of medical necessity and the CMS Two-midnight Rule in my patient assessments, ensuring that admissions meet the required criteria and documentation accurately reflects the medical necessity of inpatient care.

Incorporate new resources into my practice to assist in determining medical necessity to utilize in my decision-making process.

Engage in and support the utilization review process, recognizing its role in improving quality of care and compliance, and to use the standards as a guide in my patient care decisions.