Hourly Documentation for Observation Status 

Q: At one point, I heard rumors that CMS was going to require hourly documentation by nursing to support Observation status. I feel as if this did not go forward, but have no hard documentation that it remains at every 4 hours. Will you comment, please?

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 FI and Medicare bad debts

Q: Our FI is currently disallowing our Medicare bad debts which we claimed and wrote off in accordance with our charity care policy. We believe our Medicare deductible/copay amounts that we did not collect because the patient was indigent as determined by our hospital charity policy are allowable Medicare bad debts.

These bad debts were reviewed and allowed in previous years.

Any thoughts?

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