Observation status

When it comes to determining whether a patient should be admitted as an inpatient, outpatient, or observation patient, strict CMS guidelines are confusing at best. To make the process more complicated, observation criteria and requirements vary from one payer to the next, and hospitals will soon face greater admission scrutiny through CMS’ recovery audit contractors (RAC).

We can help you:

  • Implement observation programs
  • Review current observation and one-day stay protocols and policies for compliance with regulations
  • Minimize RAC exposure through proactive audits
  • Review status assignment to ensure accuracy

We can also develop on-site customized education.

Send us a query.

  • Observation status

    New guidelines on calculating time for observation, as well as difficult-to-understand coverage guidelines, make observation a perfect target for the new permanent RACs. Our experts will analyze the current regulatory environment related to observation status and help you determine the appropriate patient classification. Reimbursement dollars are at stake! Learn more about our December 12 audio conference.

  • CPT 2009

    Do you have time to make sense of the hundreds of new CPT code changes for 2009? Our experts do. At the end of this live audio conference, your staff will be able to identify which sections of the 2009 CPT Manual saw the greatest number of revisions, demonstrate how and when to use the new CPT codes and explain the rationale for the changes. Learn more about our December 2 audio conference.

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