03/04/2026
Medicare rules shouldn’t feel mysterious, but gaps in understanding between care management, utilization review, CDI and billing can quickly become denials, delayed cash and compliance risk. In his new article, Dr. Ronald Hirsch shares practical, real-world guidance on the two-midnight benchmark, same-day readmissions, defensible observation-time carve-outs and why thorough documentation is your best audit defense.
➡️https://www.r1rcm.com/articles/medicare-regulations-made-clear/
Medicare regulations should not feel mysterious but because of their complexity they often do. The rules are detailed, the stakes are high and small workflow gaps between care management, utilization review (UR), clinical documentation integrity (CDI) and billing can turn into denials, delayed cash....