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Background. Originally published in 2013 and amended in 2016, the two-midnight rule provides that inpatient services are generally payable under Medicare Part A if a physician expects a patient to require medically necessary inpatient hospital care that spans at least two midnights.
Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined ing to provisions of the Social Security Act. The standard monthly premium for Medicare Part B enrollees will be $174.70 for 2024, an increase of $9.80 from $164.90 in 2023.
The final rule sets the 2023 conversion factor (the amount Medicare pays per relative value unit) at $33.06 about 4.5% lower than the 2022 amount, following expiration of the 3% increase to this years conversion factor mandated by legislation passed last December and an additional 1.5% reduction due to budget
Heres a primer on 2024 Medicare changes: Part A costs will mostly go up. Part B costs will go up. Medicare Advantage plan ratings are lower again. Part D catastrophic drug costs will be eliminated. More people will be eligible for Extra Help.
The Centers for Medicare and Medicaid Services (CMS) released the final rule on the 2024 Medicare Physician Fee Schedule on Nov. 2. First, the bad news: CMS reduced the 2024 conversion factor (i.e., the amount Medicare pays per relative value unit) to $32.74, a roughly 3.4% reduction from 2023 ($33.89).
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Medicare is cutting the amount it pays per relative value unit by 2%, revising certain telehealth policies, and creating bundled payments for chronic pain management. Changes to the Quality Payment Program in 2023 are minimal.
Last year, CMS implemented a two-year phase-in of a 4.6% parity adjustment to PDPM rates as a result of the new system not being budget-neutral as anticipated. The parity adjustment applied a 2.3% cut to the FY 2023 update and another 2.3% cut to the FY 2024 update.
For CY 2024, CMS is finalizing hospital-based and CMHC IOP payment rates for three services per day and four or more services per day based on cost per day using a broad set of OPPS data that includes PHP days and non-PHP days for the same services we are recognizing for PHP and IOP.

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