Case Management

Audio Conference: Condition Code 44: Best Practices for a Compliant Process

Case Management Weekly, January 4, 2012

Condition Code 44: Best Practices for a Compliant Process,” a January 10 HCPro audio conference, will explain how to identify the need for Condition Code 44 and communicate with other departments about its application.

Confusing guidance has caused many misconceptions about Condition Code 44 and how to convert patient status from inpatient to outpatient. Many facilities have difficulty determining when to use the code and who should make this decision.

Speakers Deborah K. Hale, CCS, CCDS, president of Administrative Consultant Service, LLC, in Shawnee, OK, and John Zelem, MD, FACS, senior director of audit, compliance and education at Executive Health Resources will address the following topics:

  • The history of Condition Code 44
  • The difference between inpatient and outpatient status and gray areas
  • When to convert an inpatient to observation
  • Current regulations
  • Medical necessity requirements
  • The UR committee’s role in Condition Code 44
  • Condition Code 44 requirements
  • Is UR committee involvement necessary in every case?
  • Who needs to agree to the change in patient status?
  • What is the time frame for appropriate use of Condition Code 44?
  • Developing a process for Condition Code 44
  • A live question-and-answer session will follow the presentation.

Information about this audio conference is available at

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