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AUDIOCONFERENCE ON CD OR AUDIO ARCHIVE

Sponsored by Observation Status Symposium

presented on December 19, 2007

Patient observation is a confusing and misleading process which can result in a variety of tangled compliance and Medicare billing problems. Do you know how to properly document one-day stays? Are you familiar with the differences between outpatient billing and inpatient billing? Are you receiving the proper revenue to which you are entitled based on your observation status procedures?

Listen to HCPro's 90-minute audioconference, Observation Status: Unite clinical and financial teams for compliance and revenue integrity.” Healthcare compliance experts Joseph Zebrowitz, MD (Executive Health Resources) and Kimberly Anderwood Hoy, JD, CPC (HCPro) will reveal methods for you to unite the clinical and financial teams in your organization so they understand the rules surrounding observation status as well as the compliance and reimbursement ramifications.

At the end of thise audioconference, you and your staff will be able to:

• Recognize why observation status has become a major compliance problem
• Identify how hospitals lose significant revenue from inappropriate observation claims and expose themselves to potential False Claims Actions
• Clarify the difference between the observation environment and the inpatient environment with regards to the rules for RACs, the review process, and the payment disputes levels including the Administrative Law Judge appeal process
• Indicate how to unite the clinical and financial departments of your hospital to achieve a Medicare Admissions Review Program that meets CMS regulations
• Identify how and why QIOs nationwide are targeting Short Stays and Observation Status

AGENDA

• The Issues: The perfect storm solution
  • RACs
  • Hospital payment monitoring program
  • Medicare integrity program
• The Rules
  • Regulations surrounding observation
  • Inpatient rules
  • Legal issues
  • Where the code of federal regulation, Medicare benefit policy manual and CMS ruling 95-1 fit in
  • How to manage observation in a compliant way
• Billing
  • How inpatient and outpatient differ
  • Ways that observation can get you into trouble
    • Outliers
      • What to bill with observation
• Coding
  • Confusion surrounding condition code 44
  • Meeting observation criteria
  • 12X Billing
• Q & A

BONUS TOOLS

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and:

• 10 survival techniques to address the growing challenges hospitals face in protecting themselves from False Claims Act Actions based upon the lack of medical necessity, which has become a large focus of the OIG
• Cards from the Observation Status symposium

These materials are provided with PDF links.

MEET THE SPEAKERS
Joseph Zebrowitz, MD, Executive Vice President, Senior Medical Director, Executive Health Resources (EHR).  Mr. Zebrowitz has developed EHR's suite of Clinical Revenue Cycle Management services-endorsed by the AHA as "Best in Class." EHR's programs focus on clinical denial reduction, length of stay management, and physician education through daily physician-to-physician interaction and education. EHR's physicians currently work with over 55 hospitals nationally on an ongoing basis.

Kimberly Anderwood Hoy, JD, CPC. Ms. Hoy is the Director of Medicare and Compliance for HCPro, Inc, and the lead instructor for HCPro's Medicare Boot Camp® - Hospital Version. Hoy has served as a Compliance Officer and In House Legal Counsel for hospitals and has developed and implemented corporate-wide compliance programs for two hospitals.

WHO SHOULD LISTEN?

• Chief Executive Officers
• Chief Financial Officers
• Chief Medical Officers
• Chief Compliance Officers
• Managed Care Directors
• Directors of Case Management
• Vice President/Directors of Revenue Cycle
• Directors of Patient Financial Services
• Directors of Regulatory Affairs
• Directors of Risk Management
• Hospital Legal/Regulatory Counsel
• Hospital Financial Managers

NEW PURCHASE OPTION: Audio Archive
In addition to the regular purchase option for HCPro audioconferences, audio CD, we are pleased to offer a new option, an audio archive. An audio archive allows you to download the program and play it back at your convenience on your computer or MP3 player. Purchase a CD, or audio archive of the program 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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