Discharge Planning

AUDIO CONFERENCE ON CD AND AUDIO ON-DEMAND
Sponsored by the book Discharge Planning: Tools for Compliance, Second Edition

presented on January 21, 2009

Identify the top seven factors that impact your facility’s operations and bottom line

Discharge planning has a major impact on the financial profitability of an organization. Hospital case managers need to understand how and where non-compliance hurts their facility’s operations—and their bottom line.

Don’t miss the HCPro audio conference, Discharge Planning: Seven Factors that Affect Hospital Profitability. Expert speaker Jackie Birmingham, RN, BSN, MS, CMAC, discusses how to improve compliance and improve your documentation to defend against appeals and improve your facility’s financial success.

You’ll also receive eight bonus tools to help you navigate discharge planning.

AGENDA

1. Discuss how discharge planning impacts the financial profitability of an organization
2. Where does discharge planning fit into hospital operations?
   1. Discharge planning functions within hospital operations
   2. Relationships of discharge planning to:
      1. Utilization Review:  Medical Necessity for Admission and Continued stay.
      2. Coding: Recovery Audit Contractors (RACs)
         1. Documenting medical necessity for 3-Midnight Rule
         2. Documenting discharge disposition for the Transfer DRG Rule
3. Seven organizational factors of the discharge planning process
   1. Discharge planning compliance
   2. Utilization review and discharge planning overlap
   3. Medical necessity
      1. Admission and continued stay
      2. Retrospective payment denials (RACs)
   4. Averting fraud inquiry
      1. Office of Inspector General (OIG)
      2. Referrals: Patient choice
      3. EMTAA
      4. HIPAA privacy rules
   5. Coding
      1. Present on admission
      2. Discharge status codes
      3. Transfer DRGs Condition codes 42 and 43
   6. Review for quality
      1. Important Message (IM) from Medicare
      2. Readmissions
4. Give examples of how to document to show how discharge planning influences hospital operations and profitability.
   1. Recommended method of documentation: SBAR (Situation-Background-Assessment-Recommendation)
   2. Documenting actions for discharge planning
      1. Providing patient choice;
      2. Requiring continued stay.
      3. Patient who does not meet 3-day requirement for the Medicare extended care benefit
      4. Patients requiring a HINN
5. Q and A

LEARNING OBJECTIVES

By the end of the program you’ll be able to:

1. Identify the impact of discharge planning on the financial profitability of an organization
2. List seven factors in the discharge process that affect hospital operations
3. Review examples of documentation, using SBAR that reflects the impact of discharge planning on hospital operations.

BONUS TOOLS

You'll receive a slide presentation of the program materials and a syllabus containing:

• Medicare secondary payer screening tool
• SBAR reference from Institute of Medicine (IOM)
• Conditions of Participation for medical records
• Conditions of Participation for Discharge Planning and Utilization Review
• CMS Publication 10 – Utilization Review Plan related to the discharge process
• Various discharge planning articles authored by Jackie Birmingham
• MedLearn Matters article number SE0841 – “Present on Admission (POA) Indicator Payment Implications” and others.
• List of web sites to access discharge planning checklists and other resources.

These materials are provided with PDF links.

MEET THE SPEAKER

Jackie Birmingham, RN, BSN, MS, CMAC, is Vice President for Professional Services, Curaspan Health Group, Inc. of Newton, MA.  Jackie has more than 25 years in discharge planning and case management experience including 10 years as director of discharge planning in a large hospital, in home health and in information technology.

WHO SHOULD LISTEN?

Case managers/discharge planners, directors of case management, care coordinators, utilization review staff/administrators responsible for utilization review and discharge planning, documentation improvement specialists, coders, physician advisors

AUDIO ON-DEMAND

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.

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