Revenue Cycle

Medicare Compliance Forum 2012 spotlight: CMS' proposal to redefine inpatient

Recovery Auditor Report, September 6, 2012

In the recently released 2013 OPPS proposed rule, CMS issued a request for comments that suggests that the agency is ready to hear new ideas when it comes to the guidance surrounding the definition of inpatient. Specifically, CMS is asking for comments on defining inpatient at a specific period of time. This proposal would have an immediate and profound impact on providers, patients, and review contractors.

Kimberly Anderwood Hoy, JD, CPC, director of Medicare and compliance for HCPro, Inc.,provides insight to this proposal in a complimentary spotlight article, which can be downloaded here. Ralph Wuebker, MD MBA, Vice President of Audit, Compliance and Education for Executive Health Resources (EHR)—both of whom are speakers at HCPro’s 2012 Medicare Compliance Forum—discuss this proposal in an audio spotlight.

To listen to the audio spotlight, click here. This year’s Compliance Forum features new sessions such as Physician Documentation: Impact on ICD-9 and ICD-10 and Evaluating Compliance Management Issues: Case studies and discussion. In addition, it will feature popular returning sessions such as the Mock ALJ Hearing, Observation Services and Condition Code 44, and the Three-Day Payment Window. For more information on this conference, click here

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