Condition code 44: Best Practices for a Compliant Process
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by Observation Services 3rd Ed
Presented on January 10, 2012
Confusing guidance has caused many misconceptions about Condition Code 44 and how to convert a patient’s status from inpatient to outpatient service. Many facilities have difficulty determining when to use the code and who should make the decision to use it.
During this 90-minute audio conference, our expert speakers offer advice on how to create a process to identify the need for Condition Code 44 and communicate with other departments about its application.
LEARNING OBJECTIVES
- List the Condition Code 44 criteria
- Explain the difference between inpatient and outpatient status
- Identify when it’s appropriate to convert an inpatient to observation
- Describe a compliant Condition Code 44 process
AGENDA
- The history of Condition Code 44
- The difference between inpatient and outpatient status and grey areas
- When to convert an inpatient to observation
- Current regulations
- Medical necessity requirements
- The UR committee’s role in Condition Code 44
- Condition Code 44 requirements
- Does the UR committee need to be involved in every case?
- Who needs to agree to the change in patient status?
- What is the timeframe for appropriate use of Condition Code 44?
- Developing a process for Condition Code 44
- A question and answer session follows the presentation.
MEET THE SPEAKERS
Deborah K. Hale, CCS, CCDS, is president of Administrative Consultant Service, LLC, in Shawnee, OK, and has more than 30 years of experience in health care management including administration, health information management, clinical documentation improvement, resource outcome management and utilization review. She is the author of “Observation Status: A Complete Guide to Compliant Level of Care Determinations,” from HCPro.
John Zelem, MD, FACS currently serves as a Senior Director, Audit, Compliance and Education for Executive Health Resources (EHR). A Board Certified general surgeon with more than 25 years of clinical experience, Dr. Zelem is responsible for quality assessment and improvement at EHR’s client hospitals. Dr. Zelem is a renowned industry author who has published many books and is a well-known motivational speaker and presents often to professional and public/patient audiences on health and wellness, personal development, and leadership and success.
CCDS
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).
Please note the expiration date for this audio is 1/24/12.
WHO SHOULD LISTEN?
Directors of case management, case managers, hospital administrators, nursing administrators, physician advisors, quality professionals, social workers, hospitalists, finance staff, clinical documentation specialists, compliance officers
BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials plus the following bonus items.
Helpful “take-aways” provided within materials pack:
- Pocket Cards reminders
- Sample Patient Information Letter
- CC 44 check sheet
AUDIO ON-DEMAND
Purchase a CD or an audio on-demand of the audio conference and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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