greybeard
Herd Master
It usually doesn't work that way either. Too much chance of being caught by medicare and medicare supplement auditors.Yeah that makes a WHOLE lot of sense. We'll pay for 2 nights but not 1. Way to save money, having people make SURE they are there past midnight twice. Are the hospitals in cahoots with the insurance companies??
In Cahoots? No exactly..and in fact, it was the opposite. Hospitals in the 90s realized they could make a LOT of revenue by admitting emergency room patients regardless of their ailment or injury. True for medicare/medicaid patients too as well as traditional private insurance or group ins thru the workplace. They'd admit them for even the most minor things, release them the next day with instructions to see their PCP and bill the insurance co or medicare for a night's stay. Insurance companies and medicare/medicaid were seeing costs go thru the roof and insurance companies started raising their rates to try to cover it. Medicare tho, instituted the 2 midnight rule, and private insurance soon followed suit, with stricter monitoring of reasons for admitting the patient for a full day's observation. Nowadays, when you go in and are admitted either thru day surgery or because of an E-room visit, you have to sign a form that informs you of the 2 midnight rule and that if there isn't cause to keep you 48 hrs (or past the 2nd midnight) you can be responsible for a significant part of the bill. One day surgery I had, they sent me one certified mail for me to sign and return before I went to day surgery.
Documentation for keeping someone past the 1st midnight is pretty rigidly kept track of by medicare.
There is also a 3 midnight rule, but I'm not up on what it is for.