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Speakers

Joe Becht, MBA, CPA
Executive Vice-President, Client Services
Clinical Advisory Services

Hugh Aaron, MHA, JD
Executive Vice-President, Training
Clinical Advisory Services

Joe McMenamin, MD, JD
Chief Executive Officer
Clinical Advisory Services

Summary

The Center for Medicare & Medicaid Services (CMS) has proposed—and, by the time of this webinar, will finalize—several far-reaching changes including:

  1. How, under Medicare, patient status (i.e., inpatient versus outpatient/observation) will be determined;
  2. How a utilization review committee will function;
  3. How short-hospital stays will be paid;
  4. How to analyze the usefulness of appeals; and
  5. How condition code 44 will be used in the future, if at all.

No matter what shape the final rules take, the likelihood is very strong that billing and documentation requirements will change substantially. This could have a profound effect on reimbursement for services furnished to both inpatients and observation patients. All those responsible for the hospital’s reimbursement will need to understand and apply the new rules.

After This Webinar You’ll Be Able To:

  • Identify several potentially significant changes CMS is making related to patient status.
  • Review steps required to analyze the financial implications of these changes on your organization.
  • Assess how to analyze the operational implications of these changes on your organization.

Tools & Takeaways

The latest CMS rules and guidance regarding patient status

Recommended For:

CFOs, revenue cycle managers, billing staff, hospitalists, members of your UR committees, case managers, compliance and audit professionals, health information managers, clinical documentation specialists, and RAC coordinators

Level

Intermediate

Prerequisites

Familiarity with reimbursement concepts

Pre-work

None

Pricing

HFMA members: Free
Non-members: $99

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Note: This on-demand webinar is available until Oct. 14, 2014.