Ensemble | The Two Midnight Rule

Dr. Khiet Trinh and Dr. Maria Johar illustrate key concepts of the Medicare two midnight rule, demonstrating how to determine inpatient versus observation status based on expected or actual hospital care spanning two midnights. They discuss qualifying scenarios, exceptions to the rule such as patient death, transfer, hospice, or unexpectedly rapid recovery and emphasize the importance of clear documentation using the "soapy note" approach to support compliance and minimize administrative rework.