Observation is commonly used but seldom understood. It's a confusing concept and represents a potential landmine that, when tripped by submitting non-compliant claims, could wreak financial havoc on hospitals. As one health system recently learned when they paid a $4.3 million settlement to the Office of Inspector General (OIG), getting it right is critically important.
And yet, observation remains very complicated. Various payers have varying definitions and time durations for observation services. Coders often misinterpret the intent of the physician. Moreover, patients receiving observation services also receive other services simultaneously, complicating the claim preparation. And there's a difference between observation services when used for medical and surgical patients. There's a lot going when observation is used, exponentially increasing the billing complexities.
So, to protect your facility from audits and possible takebacks you and your team need to be totally conversant with the reporting and billing of observation services. That's why you need to join Dr. Ronald Hirsch for an upcoming webcast where he will provide a detailed review of observation, including its use for Medicare, Medicare Advantage, and commercial payers, utilizing examples of compliantly prepared claims that accurately report observation services so that you know how to get it right. You need to be educated on the subjection of observation from someone who can break it down and make it easy to understand, and you will be when you register to gain access to "Observation Services: Learn to Report and Bill Compliantly," led by Dr. Ronald Hirsch.
Why This is Relevant:
Recently, a health system, in a settlement agreement with the government, paid the Office of the Inspector General (OIG) $4.3 million. The same action would befall your organization.
- Understand the patient types appropriate for observation
- Learn how to delineate observation billing for medical and surgical patients
- Know how to differentiate commercial and government payer use of observation
- Better understand the nuances of professional fee billing of observation services
Who Should Attend:
Utilization review, case management, revenue integrity, revenue cycle, billing, coding, physician advisors.
Webcast Access Privileges: Only one login is allowed per webcast purchased. Discounted pricing for additional registrants is available. For more information about webcast pricing and requirements, click here.