CMS implemented the "2-midnight" policy in fiscal year (FY) 2014. The policy establishes that inpatient payment is generally appropriate if physicians expect beneficiaries' care to last at least 2-midnights; otherwise, outpatient payment would generally be appropriate. CMS implemented the 2-midnight policy to address three vulnerabilities in hospitals' use of inpatient and outpatient stays: improper payments for short inpatient stays; adverse consequences for beneficiaries of long outpatient stays, including that they may not have the 3 inpatient nights needed to qualify for skilled nursing facility (SNF) services; and inconsistent use of inpatient and outpatient stays among hospitals. This report follows up on previous OIG work and compares data from the year before and the year after the implementation of the 2-midnight policy.
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
|---|---|---|---|---|---|
| Department of Health & Human Services | Vulnerabilities Remain Under Medicare's 2-Midnight Hospital Policy | Inspection / Evaluation | Agency-Wide | View Report | |
| Department of the Interior | Audit of Contract Nos. A13AV00621 and A12AV00769/A15AV00265 Between the Bureau of lndian Affairs and the Lower Brule Sioux Tribe | Audit | Agency-Wide | View Report | |
| U.S. Postal Service | Self-Certification Process for Domestic Competitive Product Negotiated Service Agreements | Audit | Agency-Wide | View Report | |
| Department of Defense | Assessment of U.S. and Coalition Efforts to Train, Advise, Assist, and Equip the Kurdish Security Forces in Iraq | Inspection / Evaluation | Agency-Wide | View Report | |
| Department of Housing and Urban Development | Majestic Management, LLC, a Multifamily Housing Management Agent in St. Louis, MO, Did Not Always Comply With HUD’s Requirements When Disbursing Project Funds | Audit |
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View Report | |
| Department of Labor | FY 2016 Independent Auditors' Report on the U.S. Department of Labor's Consolidated Financial Statements | Audit | Agency-Wide | View Report | |
| General Services Administration | Fiscal Year 2015 Independent Evaluation of the U.S. General Services Administration's Compliance with the Federal Information Security Modernization Act of 2014 | Inspection / Evaluation | Agency-Wide | View Report | |
| Department of Veterans Affairs | Healthcare Inspection – Review of Antimicrobial Stewardship Programs in VHA Facilities | Inspection / Evaluation | Agency-Wide | View Report | |
| Department of Veterans Affairs | Review of Alleged Misuse of VA Funds at the VA Pittsburgh Healthcare System | Audit |
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View Report | |
| Department of the Treasury | FINANCIAL MANAGEMENT: Audit of the Department of the Treasury Forfeiture Fund's Fiscal Years 2016 and 2015 Financial Statements | Audit | Agency-Wide | View Report | |
