Catalog Number : cra1732
Title : Observation Advanced Topics
Speaker : Duane Abbey

Webplay Recording Date : 5-24-2012
Webplay Price : $ 200 for two weeks viewing

Webinar Objectives:

• Discuss the Utilization Review Committee's involvement in observation services including the UR Physician
• Recall the critical role of physicians and nursing staff in documenting and supporting observation services
• Recall various Medicare rules and regulations concerning observation services
• Discuss the anticipated RAC involvement in observation services
• Recall the O’Connor Hospital Ruling from the Medicare Appeals Councils
• Recall special situations including non-physician practitioners, DRG Pre-Admission Window, and ancillary services provided during observations

Webinar Outline/Agenda: /font>

• Review of Observation Basics
  • Observation Concept
  • Coding and Billing for Observation Services
  • Current Medicare Rules, Regulations and Other Guidance
  • Compliance Issues Surrounding Observation
• Counting Observation Hours
  • Medicare Time Delimitations for Observation
    • 8-Hour Concept
    • 48-Hour Concept
  • Diagnostic and Therapeutic Services During Observation
    • Concept of ‘Active Monitoring’
    • Patient Away from Observation Bed
    • Policy and Procedure Development
• Utilization Review Committee
  • UR Activities Surrounding Observation
  • UR Physician Involvement in Decision Making
  • Discharge from Observation
• Condition Code 44
  • NUBC Definition
  • Medicare Definition
  • Proper Use of Condition Code 44
  • Policy and Procedure Development
• Special Observation Issues
  • Physician Documentation and Terminology
  • Hospital Audits of Observation Services
    • Clinical
    • Coding, Billing and Chargemaster
  • DRG Pre-Admission Window
  • Training and Education for Physicians
  • Non-Physician Practitioner Involvement
• RAC Involvement With Observation
  • O’Connor Hospital Ruling
  • Anticipated Areas of Investigation
  • Impact on Coding, Billing & Reimbursement
• Case Studies and Exercises

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.