Case Management

News: CMS confirms HCPro's condition code 44 guidance

Case Management Weekly, February 10, 2010

CMS recently answered new condition code 44 questions on its FAQ Web site. The CMS answers confirm many interpretations Case Management Weekly has provided in previous issues. Examples include:

Q. 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?

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Q. 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?

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Q. 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?

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Source: MedicareFind

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