Thursday, June 6
LaDonna Waugh, M.D., J.D.,
The majority of RAC denials for medical necessity involve short stays in the hospital, making it critical to understand how to defend appropriate inpatient admissions and protect revenue. The new Part B rebilling project has created an additional wrinkle in the process that increases the importance of distinguishing true inpatient stays from observation stays. Now, more than ever before you need to consider which cases should be appealed and for which cases appeals should be abandoned in order to pursue Part B payment to improve reimbursement.