More than a decade after its introduction, the Two Midnight Rule remains one of the most misunderstood Medicare regulations. Confusion has only worsened since January 2024, when Medicare Advantage plans were mandated to comply with the rule – creating new challenges for hospitals and health systems nationwide. Staff turnover in hospital utilization and case management departments further complicates compliance, as many staff and clinicians may be unfamiliar with the rule or applying it improperly. The consequences of misinterpreting the Two Midnight rule can be disastrous, leading to lost revenue and compliance risks.

That’s why RACmonitor is proud to welcome back Dr. Ronald Hirsch, for one of his most requested webcasts. In this highly anticipated session, Dr. Hirsch will break down the complex Medicare regulations, translating them into clear, actionable guidance. He’ll walk you through the basics of the Two-Midnight Rule, offer expert interpretation, and apply the rule to real-world clinical scenarios—so you leave with greater clarity, confidence, and the tools to ensure compliance.

Why This Is Relevant:

Misunderstanding the Two Midnight Rule can result in the loss of compliant inpatient revenue or, conversely, the overuse of inpatient admissions—both of which carry significant compliance risks.

Learning Objectives:

• Understand the details of the Two Midnight Rule
• Develop an implementation plan for application of the Two Midnight Rule
• Review interpretation of the rule by CMS contractors
• Formulate arguments to fight improper interpretation of the rule by payers

Who Should Attend:

Those who will benefit most from this webcast include those in utilization review, revenue cycle, revenue integrity, case management and compliance, as well as chief financial officers, physicians and physician advisors, and billing and coding professionals.