Corporate Compliance

Other Issuances: RAC updates issues, CMS releases FAQs on observation, condition code 44, and more

Medicare Insider, February 2, 2010

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CMS issues observation, condition code 44 FAQs

CMS has posted the following frequently asked questions (FAQ):

May a hospital report drug administration services, such as therapeutic infusions, hydration services, or intravenous injections, furnished during the time period when observation services are being reported?

Read the answer.

How should the hospital report observation services when the patient's status is changed from inpatient to outpatient using Condition Code 44? May the hospital report observation services from the beginning of the hospital outpatient encounter?

Read the answer.

May a hospital change a patient's status using Condition Code 44 when a physician changes the patient's status without utilization review (UR) committee involvement?

Read the answer.

Region B RAC updates issues

CGI Federal, the RAC for Region B, continues to update its list of issues approved by CMS for auditing.

View CGI’s updated issues list.



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