Confusion abounds because of recently announced changes for short-stay inpatient hospitalizations (less than two midnights) along with conflicting information about potential audit targets conducted by federal auditing and oversight organizations, such as the Quality Improvement Organizations (QIOs). Adding other layers of confusion for hospitals and admitting physicians are outpatient observation services and "inpatient-only list" post-surgical admissions. These clinical operational areas are perennial favorites of the most aggressive compliance auditing initiatives by the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG), the Recovery Auditors (formerly RACs) and by other federal entities like the Comprehensive Error Rate Testing (CERT).
Anyone of these federal auditing entities can request a review of short-stay inpatient admissions and related outpatient observation admissions. Therefore, hospitals must continue their internal auditing and monitoring programs of these services. And that requires full working knowledge of the "Two-Midnight Rule" and related outpatient observation admission criteria.
Cut through the confusion and mitigate audit potential with healthcare expert Michael Calahan during this information-packed webcast. He'll get to the heart of the matter and explain exactly what hospitals need to know about the latest iteration of the "Two-Midnight Rule," how this rule impacts and influences outpatient observation services, and how these services are informed by the federal expectations around short-stay admissions and the newly revised physician orders for inpatient admissions. Michael will include at-a-glance workflow and cross-departmental protocols, including best practices that you can adopt and put immediately into operation to mitigate your risk.
After this hour of must-know facts, exploration, and discovery you will be prepared for the very real audit potential of 2020.
Why This is Relevant:
Because any one of several federal auditing entities can request a review of short-stay inpatient admissions or related outpatient observation admissions, hospitals must have a solid working knowledge of the "Two-Midnight Rule" and its application to observation services to avoid audits in 2020.
- Learn the continuing areas of vulnerability to the "Two-Midnight Rule"
- Review important outpatient observation risk areas
- Assess the CMS "inpatient-only list" updates and the impacts on the "Two-Midnight Rule" admissions and observation services
- Understand hospital inpatient admit orders: What's required, what impacts the validity of the short-stay inpatient admission and related observation services
- Analyze the weakest areas in hospital operational processes critical to identifying, correcting and managing short-stays classified as "two-midnight or less stays" and related outpatient observation services
- Review at-a-glance workflow and cross-departmental protocols including best practices to adopt and put immediately into operation to mitigate your risk
Who Should Attend:
Those who will benefit most from this webcast include those in utilization review, revenue cycle, revenue integrity, chief financial officers, physician advisors, case managers, compliance officers, and billing and coding professionals.