Modifying Process for Inpatient Hospital Reviews, Effective September 1, 2025

Published: 06/03/2025

Sources:
  • Centers for Medicare and Medicaid Services
Relevant To:
  • Hospitals

The Centers for Medicare and Medicaid Services (CMS) has announced that Medicare Administrative Contractors (MACs) will begin performing short stay inpatient hospital medical reviews and provider education (i.e. patient status reviews).

Beginning September 1, 2025, inpatient Hospital short stay patient status reviews for acute care inpatient hospitals, long-term care hospitals, and inpatient psychiatric facilities will transition from the Beneficiary and Family Centered Care Quality Improveme

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