Catalog Number : cra1727
Title : Observation Update
Speaker : Duane Abbey

Duration : 90 minutes

Webplay Recording Date : 2-28-2013
Webplay Price : $ 200 for two weeks viewing

Webinar Description:

What is payment documentation? Just what is observation? How do we handle inpatient admissions that should have been observation? To answer these questions and more come join us in this important and educational Webinar.

Target Audience:

Outpatient Nursing Staff, Medical/Surgical Nursing Staff, Nurse Managers, ED Nursing Staff, Utilization Review Personnel, Quality Assurance Personnel, Physicians, Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel and other interested personnel

Webinar Objectives:

To briefly review the observation concept and payment for observation services

To review proper counting of hours of observation for billing purposes

To discuss the Utilization Review Committee involvement in observation services including the UR Physician

To review various Medicare rules and regulations concerning observation services including counting hours, Condition Code 44, and documentation requirements

To appreciate how the Medicare interpretation of Condition Code 44 is different from private payer interpretations and usage

To address the anticipated RAC involvement in observation services

To review cardiovascular services relative to observation services

To review the O’Connor Hospital Ruling from the Medicare Appeals Council

To understand how to handle short-stay inpatient admissions that should have been observation

To review physician supervision requirements in connection with observation

A few of the topics to be discussed:

Review of Observation
- Observation Concept
- Coding and Billing for Observation Services
- Current Medicare Rules, Regulations and Other Guidance
- Compliance Issues Surrounding Observation
- Proper Counting of Hours For Observation
Condition Code 44 o Purpose of Condition Code 44
- Medicare Definition of Condition Code 44
- NUBC Definition of Condition Code 44
- Proper Use of Condition Code 44
- Policy and Procedure Development
Utilization Review Committee
- UR Activities Surrounding Observation
- UR Physician Involvement in Decision Making
- Discharge from Observation
Special Observation Issues
- Physician Documentation and Terminology
- Hospital Audits of Observation Services
- Physician Supervision o Correcting Errors
- Training and Education for Physicians
- Providing Minor Surgical Services In Observation
- CAH Challenges
RAC Involvement With Observation
- O’Connor Hospital Ruling
- Anticipated Areas of Investigation
- Impact on Coding, Billing & Reimbursement
Cardiovascular Services and Observation
- Site of Service Necessity – Inpatient vs. Outpatient
- Developing Payment Documentation
Case Studies and Exercises

Contact Hours:

Nursing participants: Instruct-online has approved this program for 1.8 contact hours, Iowa Board of Nursing Approved Provider Number 339.
All participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Completion of offering required prior to awarding certificate.

Refund Policy:

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.

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