Governance, Risk & Compliance: GRC
Watch Two-Midnight Rule Nightmares? Let’s talk scenarios, challenges, and Medicare Advantage denials
Founder & President of AR Systems
Medicare Advantage (MA) plans are gearing up to implement the Two-Midnight Rule, necessitating a fresh perspective on securing inpatient status.
In this webinar, health care reimbursement and operations expert Day Egusquiza unpacks the Two-Midnight Rule, explores key elements of traditional Medicare, and delves into distinct facets of the Two-Midnight Rule (2MN) – Presumption and Benchmark.
This session includes real-world denials scenarios, offering practical insights into reshaping your communication with MA plans when requesting inpatient status, including the impact on Interqual and MCG.
Day also covers essential documentation practices to strengthen your organization’s understanding of the Two-Midnight Rule.
Webinar Highlights
- Demystifying the 2MN: Gain a comprehensive understanding of this pivotal regulation
- Navigation Made Easy: Explore the nuances of Presumption and Benchmark
- Adapt and Thrive: Learn how to adapt your approach in response to evolving Medicare Advantage changing criteria
- Documentation Excellence: Build an unshakable foundation for Two-Midnight Rule compliance
Day Egusquiza
Day Egusquiza brings over 40 years’ experience in health care reimbursement, including 20 years in an Idaho hospital leading hospital revenue cycle operations, contracting, new program development, auditing and compliance implementation. Additionally, her experience includes eight years as a Director of a Physician Medical Management billing service which included completing an integrated business office between a hospital and a large multi-specialty physician clinic.
