AUDIOCONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by Healthcare Audit Resource Center
presented on May 5, 2008
Hospitals lose millions of dollars per year due to improper categorization of patients. The ever-present question is: inpatient or observation?
Learn to make the right call
The rules surrounding observation care are intricate and convoluted. Billing for services rendered under observation status represents a major compliance risk for hospitals. Correct documentation of patient status also affects your facility’s ability to bill for outpatient services and receive subsequent reimbursement. The intricacies of determining observation status become even more confusing when applied to real-life scenarios. Providers face constant questions concerning observation compliance, including:
- How to define billable observation time
- When to assign condition code 44
- How to document obstetrics patients and observation
Listen to HCPro's 90-minute audioconference Observation Status: The Latest Tools for Compliant Billing, Coding, and Documentation. Nationally known observation experts Day Egusquiza and Virginia Gleason, JD, MPA, CHC, CPHRM provides practical solutions for compliance with outpatient observation criteria.
The speakers discuss:
- The role of case management and utilization review
- The importance of nurse/physician partnerships to generate proper documentation
- The impact of regulatory reviews of observation status
- As an added bonus, you’ll take away tools for conducting internal chart audits to determine compliance with regulatory requirements.
At the end of this audioconference, you and your staff will be able to:
- Identify how to determine appropriate patient status
- Develop practical tools to help physicians document treatment goals
- Construct tools for conducting internal chart audits
- Verify compliance with regulatory requirements regarding observation status billing
- Nursing taking a leadership role in managing the patient at the bedside
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:
- Sample physician order forms
- Chart audit tools
- Decision tree for determining appropriate patient status
These materials are provided with PDF links.
AGENDA
- New APC Regulations
- Lost revenue
- Drug administration
- Operationalize Medicare Regulations
- Role of the bedside nurse
- Active physician involvement
- Dynamic order forms
- Keys for success
- Dedicated beds and units
- Manage patients at the bedside
- Tracking and trending with billable vs. non-billable hours
- New documentation tools
- Appropriate patient status
- Case management and utilization review’s role in patient status
- Care management protocol
- Exciting potential for new clients
- Regulatory reviews of less than 24-hour stays
- RAC—one-day stay
- Question & Answer Session
MEET THE SPEAKERS
Day Egusquiza, President, AR Systems, Inc. Ms. Egusquiza possesses more than 25 years experience in healthcare reimbursement, business office operations, and contracting and compliance implementation. Her work includes providing insight and guidance as a compliance and APC educator, along with an operational focus of HIPAA in the revenue cycle. She has spoken nationally on topics such as CQI, benchmarking, redesigning, reimbursement systems and implementing an operational focus of compliance, both in hospitals and physician practices.
Virginia Gleason, JD, MPA, CHC, CPHRM. Ms. Gleason’s consulting practice focuses on healthcare regulatory compliance and management. Among her recent work, she has directed the compliance program for a seven-state regional Medicare Part D contractor during the implementation of Medicare Part D. Ms. Gleason also works with Pharmacy Benefit Managers, metropolitan as well as rural hospitals, physicians and other health care providers in areas of federal and state regulatory compliance.
WHO SHOULD LISTEN?
Employees of hospitals, including the following departments and titles:
- Compliance officers
- Healthcare administrators
- Finance directors
- Billing and coding
- Nursing leadership
- Business office
- HIM
- Utilization Review (UR)
- Case management
AUDIO ON-DEMAND
In addition to the regular purchase option for HCPro audioconferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand 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.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
