No doubt you are experiencing this situation at your facility: Insurance companies and auditors are picking and choosing how they want to apply the two-midnight rule to your claims, usually to their own benefit, certainly not yours.
But you can prevail. During this case study-driven webcast, you’ll learn from actual real-world case studiesâ€”a straightforward breakdown of status assignment, including how to differentiate between rules that affect Medicare versus non-Medicare patients. You’ll benefit from a refresher course on the controversial two-midnight rule and learn how to risk-stratify your patients into the appropriate status.
You’ll learn the correct approach to status review in order to decrease the likelihood of denials. However, if a denial is inevitable, medical necessity documentation can strengthen the language in the EMR to support a successful peer-to-peer and appeal, if necessary.
Best of all, you can have your questions answered in real-time during this dynamic webcast.
During this exclusive RACmonitor webcast, you willâ€¦
- Benefit from hearing the status reviews of actual cases for inpatient and observation, the lessons from which you can apply to your own situation;
- Gain a better understanding of the two-midnight rule and how it affects status assignment;
- Learn about the importance of severity of illness, intensity of service, and risk stratification in non-Medicare patients; and
- Understand the importance of physician documentation to support medical necessity.
Who Should Attend:
Physician advisors, physicians, utilization review committee members, social workers, hospital administrators, hospital compliance, audit, and appeal managers and directors, and RAC coordinators.