Put a physician advisor on your team for correct and compliant classification of patient status.
Observation services create millions of dollars worth of headaches each year for healthcare finance professionals. The uncertainties abound—from how patient stays are categorized to appropriate documentation and medical necessity determination—and it takes a concerted effort from clinicians, case management, and the finance team to ensure the facility submits appropriate, compliant bills to get paid every penny it deserves.
Adding a physician advisor to the mix will help you determine the correct and compliant inpatient versus observation classification and billing of patients.
Managing Observation Status: A Team Approach to Compliance and Revenue Integrity is an exciting new video that shows you how to overcome your biggest obstacle: mastering patient status. You can tame and manage observation when you understand the true difference between observation and inpatient and translate that understanding into action through proper documentation and billing.
You’ll learn how to spot common mistakes before you make them, along with better ways to handle observation status patients.
Produced in conjunction with Executive Health Resources (EHR), this video shows you how to spot common mistakes before you make them, along with a fail-safe process using a physician advisor to manage observation status. Also included is a CD-ROM with resources and reference documents from CMS, along with articles and tools from HCPro's finance publication Patient Access Advisor.
Through case scenarios, you’ll see how to:
- Start the admission review process with case management and the physician advisor to ensure appropriate admission status and thorough documentation
- Ensure observation patients receive ongoing reviews to determine whether status changes have occurred. Failing to do so can result in non-compliance and lost revenue.
- Make sure observation claims are billed accurately and that the process is applied consistently for every observation patient.
Teamwork, attention, and consistency are the keys to compliance and proper reimbursement for observation status patients. Managing Observation Status gives you a strong foundation on which to build your successful program.
Managing Observation Status is produced in conjunction Executive Health Resources (EHR), the Physician Advisor Company. EHR is a leading provider of expert medical management services to improve hospital revenue and maintain compliance. Exclusively endorsed by the American Hospital Association, EHR’s suite of physician outsourcing services enables its clients to improve reimbursement while optimizing hospital efficiency and quality of care. Visit www.ehrdocs.com or call 877-EHR-DOCS to learn more.
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