Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 4 § 10.4
Inpatient Hospital Services Certification and Recertification
10.4 - Inpatient Hospital Services Certification and Recertification
(Rev. 1, 09-11-02)
A certification or recertification statement must contain the following information:
•
An adequate written record of the reason for either;
o Continued hospitalization of the patient for medical treatment or for
medically required inpatient diagnostic study, or
o Special or unusual services for cost outlier cases for hospitals under
the prospective payment system (PPS);
•
The estimated period of time the patient will need to remain in the hospital
and, for cost outlier cases, the period of time for which the special or unusual
services will be required; and
•
Any plans for posthospital care.