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
-
- Practice the six rights of medication administration
- Don’t forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Q/A: Revenue codes for drug charges
- Differentiate between types of wound debridement
- What to include on the incident report
- Know guidelines and subtle differences in code descriptions for laceration repairs
- OB services: Coding inside and outside of the package
- Complications from immobility by body system
- Nursing responsibilities for managing pain
- E-mailed
-
- Cost of sepsis readmissions exceeds $16,000 per patient
- Tip: Reporting tobacco use in ICD-10-CM
- Joint Commission now allows partially-used oxygen canisters in 'full' rack
- Is it necessary for hypodermic needles and syringes to be locked up in storage?
- Get the facts on coding for non-biodegradeable drug delivery implants
- Follow these nine tips to capture inpatient wound care correctly
- Don't bill 59025, 76818 separately without separate physician orders
- Dig into the details of wound care documentation
- Coding, billing, and documentation tips for teaching physicians, interns, residents, and students
- Code laceration repair and splint code together
- Searched
