Fact Sheet: 96-Hour Certification Requirement

In order for a Critical Access Hospital (CAH) to receive payment under Medicare Part A, Medicare currently requires physicians to certify that patients will be reasonably discharged or transferred to another hospital within 96 hours. While the Centers for Medicare & Medicaid Services (CMS) had not historically enforced the requirement, in 2013, the agency implied that it would begin to do so more strictly.

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