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Condition Code 44: Learn How to Get it Right

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Put the brakes on wasted staff time and effort because of the incorrect application and use of Condition Code 44.

Price: $259.00

Product Code: AR050521

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Description Biography

For too many years, too many of you have gotten Condition Code 44 all wrong. Completely wrong—an error that continues to result in lost time and effort involving multiple departments in your facility. Now, you and your team will learn how to get Condition Code 44 right after attending this seminal webcast on the most controversial claims issue in healthcare and led by the doctor who unraveled layers of confusion built up over the years all because of a process put into place by the Centers for Medicare & Medicaid Services (CMS).

In April of 2004, the National Uniform Billing Committee (NUBC) issued Condition Code 44 to identify cases in which a patient status was changed from inpatient to outpatient before discharge. Months later, CMS released Transmittal 299, Change Request 3444, which also implemented a new Section in Chapter 1 of the Medicare Claims Processing Manual. An MLN Matters issued by CMS inadvertently led to a merging of the concept of the billing code with the CMS process. When the CMS process connected with use of Condition Code 44 was illustrated in MLN Matters SE0622, countless hospital teams operationalized the process not only for Medicare beneficiaries, but also for all patients covered by Medicare Advantage and even some commercial plans.

This often-engrained misconception will require must-needed education for your case management and utilization review teams. Fortunately, this groundbreaking educational webcast on Condition Code 44 is the single source of education to clear up this decades-long confusion on the use of this controversial code. Now you'll learn how to apply Condition Code 44 correctly when you attend this important webcast.

Register now to gain access to "Condition Code 44: Learn How to Get it Right," led by physician advisor Dr. Juliet Ugarte Hopkins who uncovered the reason why so many hospitals got it wrong for nearly 20 years and how you can get it right.

Why This is Relevant:

Every hospital that is following the Medicare Condition Code 44 process associated with 42 CFR 482.30 because policy issued by contracted Medicare Advantage or commercial plans dictates the use of Condition Code 44 has been sorely mistaken. Even worse, if the CMS Condition Code 44 process is followed in instances where the status change is made due to payer determination and not as part of your internal review process, the wasted effort is even more profound. Now, for the first time, the correct use of Condition Code 44 will be demonstrated during this seminal webcast.

Learning Objectives:

  • Become familiar with the history of Condition Code 44's creation and the CMS utilization review requirements of 42 CFR 482.30.
  • Understand how the term "Condition Code 44" is not synonymous with the CMS process described in Transmittal 299, Change Request 3444.
  • Recognize how Condition Code 44 does not apply in cases where the payer denies inpatient status.
  • Identify the specifics of Condition Code 44 requirements within your Medicare Advantage and commercial plan contracts.
  • Learn how to coordinate efforts surrounding Condition Code 44 between your case/utilization management and billing teams.

Who Should Attend:

Case management directors, supervisors, managers and personnel; utilization review committees and personnel; physician advisors; denials management personnel; payer contracting specialists; hospital billing supervisors, managers and directors; and compliance specialists.

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.