Observation Services: A case study approach to proper billing

AUDIO CONFERENCE ON CD OR ON-DEMAND

Sponsored by: Observation Services: A Guide to Compliant Level of Care Determinations, Third Edition

Presented on March 6, 2012

During this 90-minute audio conference, our expert speaker, Deborah K. Hale, reviews observation case studies to determine proper billing protocol. Scenarios include Condition Code 44, observation prior to inpatient admission, observation following outpatient surgery, and accounting for active monitoring. You'll walk away with proven strategies for billing observation services appropriately and preventing denials.

This is an intermediate level program. Listeners should have a basic understanding of observation services and Condition Code 44.

LEARNING OBJECTIVES

• Describe billable opportunities for observation services
• Calculate billable observation hours\
• Define complication of a procedure\Explain proper use of Condition Code 44
• Explain proper use of Condition Code 44

AGENDA

• Billable opportunities for observation services
• Observation Case study examples
  • Condition Code 44
• Observation services prior to inpatient admission
• Extended recovery following a complication of outpatient surgery
• Active monitoring and other Part B services
• A question and answer session follows the presentation.

MEET THE SPEAKER

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 Services: A Guide to Compliant Level of Care Determinations, Third Edition” from HCPro.

BONUS MATERIAL

Helpful “take-aways” provided within materials pack:

1. Observation charge sheet
2. Pocket card for appropriate list of observations

In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials. These materials are provided with PDF links.

CONTINUING EDUCATION

AAPC

This program has prior approval of AAPC for 1.5 Continuing Education Units.  Granting of this approval in no way constitutes endorsement by AAPC of the program, content or the program sponsor.

AHIMA

This program has been approved for 1.0 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

ANCC

HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This educational activity for 1.5 nursing contact hours is provided by HCPro, Inc.

CCMC

This program is approved by the Commission for Case Manager Certification for 1.5 Continuing Education Units.

Please note the expiration date for this audio is 3/6/13.

WHO SHOULD LISTEN?

Case management directors, case managers, UR nurses, revenue cycle managers, billing staff, compliance officers, clinical documentation improvement specialists

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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