Case Management

Patient Status Summer Series-Part Three: Inpatient-Only Procedures

Case Management Insider, August 11, 2015

Join us at 1 p.m. (Eastern) Thursday, August 27, for part three of our patient status summer series, which covers inpatient-only procedures.

CMS recently reversed long-standing policy for billing inpatient-only procedures, providing hospitals a revenue opportunity and decreasing compliance risk. Learn how CMS’ new guidance on the three-day payment window provides new opportunities for revenue for previously denied inpatient-only procedures, including difficult “converted” procedures. This provides relief for an issue that has long been a thorn in the side of hospitals and has more recently been aggravated by confusion surrounding the 2-midnight policy.

During this program, our expert speaker Kimberly Anderwood Hoy Baker, JD, CPC, will explain the new exception to the inpatient-only billing policy as well as how the emergency and separate procedure exceptions operate. Baker will review new resources for determining when the separate procedure exception applies. She will also review strategies to leverage utilization review resources and ensure compliance with the new exception, thus avoiding missed revenue and denials.

For more information or to order, call 800/650-6787 and mention Source Code EZINEAD or visit the HCPro Healthcare Marketplace.

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