Medicare Boot Camp - Utilization Review Version
HIM-HIPAA Insider, July 7, 2014
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!
Due to popular demand, we’ve added another Medicare Boot Camp®—Utilization Review Version!
- Executives, CMOs, VPMAs: Learn how to build an effective UR committee and ensure physician advisors are ready to implement the new rules
- UR committee members and physician advisors: Get the information you need to make decisions regarding patient status that will be compliant while not leaving any money on the table.
- Compliance officers: Get a complete understanding of the UR rules so that you can ensure your facility is in compliance.
- Nurse administrators/case managers: Understand the details of the rules so that you can educate physicians on them.
- Revenue cycle staff: Learn how managing patient status plays a critical role in correct reimbursement, and can stabilize inpatient reimbursement.
- How to apply the 2-midnight benchmark and 2-midnight presumptions
- The importance of continued monitoring of physician practice patterns
- The advantages of post discharge versus concurrent patient status reviews
- When self-denial is appropriate to take advantage of Part B payment for an inpatient case
- How NCDs, LCDs, and CEDs affect coverage of cases that meet the 2-midnight benchmark
- The observation coverage rules and how they interact with the new benchmark
- When ABNs should be used for extended stays that don’t meet medical necessity
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!
Related Products
-
Briefings on APCs
Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...
-
HIM Briefings
Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...
-
Briefings on Coding Compliance Strategies
Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...
-
Briefings on HIPAA
How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...
-
APCs Insider
This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...
Most Popular
- Articles
-
- Joint Commission’s top-cited standards list gives hospitals plenty to work on
- Don’t forget the three checks in medication administration
- Focusing on OR fire prevention
- Differentiate between types of wound debridement
- Preventing fires in the OR
- Note similarities and differences between HCPCS, CPT® codes
- Complications from immobility by body system
- OB services: Coding inside and outside of the package
- What does case-mix index mean to you?
- What is the difference between an IPA and a medical group?
- E-mailed
-
- Preventing fires in the OR
- Joint Commission’s top-cited standards list gives hospitals plenty to work on
- Focusing on OR fire prevention
- Why a ’restless’ George Mills left Joint Commission for a professional services firm
- OB services: Coding inside and outside of the package
- Q&A: Postop pain/nausea medication, antibiotics generally not separately billable
- Q&A: Leading multiple-choice queries
- Q&A: Identifying the principal diagnosis beyond DRG capture
- Correctly bill ancillary bedside procedures in addition to the room rate
- Correct use of modifier -AY for ESRD
- Searched