The Centers for Medicare and Medicaid Services (CMS) has recently published a new set of reimbursement criteria for acute inpatient rehabilitation facilities (IRF). [1] Commonly referred to as the ...

According to CMS guidelines ... days as an inpatient. Medicare Advantage plans have the option of waiving the three-day rule. This could save you considerably in rehabilitation costs if ...

What they found: The analysis of hospital cost reports found Medicare Advantage's share of total hospital inpatient days grew from 13% to 23% between 2015 and 2022. Almost one-third of hospitals ...

On page 28 of the 2025 Medicare & You handbook, this rule is explained under "Am I an inpatient or outpatient?" A Medicare Advantage HMO plan, however, has its own process for inpatient and ...