Tuesday, September 27, 2011, 12:30 - 1:30 p.m. (Central Time)
Learn to Avoid Pitfalls to Maximize Reimbursement While Remaining RAC Compliant
When is an outpatient an inpatient? When can a patient be admitted for an outpatient procedure and then have the procedure performed as an inpatient? And what is the critical distinction? Since the rules governing outpatient observation are confusing and counter intuitive, what is the role of observation for patients having outpatient procedures? The problem is that frequent inappropriate admission for an outpatient procedure exposes your hospital to the risk of a RAC recovery of the DRG payment or worse, a fraud and abuse investigation. Therefore, it is important for you to determine the proper status prior to a procedure. You need to know the correct application of the CMS inpatient list of complex medical procedures and operations and the exceptions that must be performed as an inpatient.
Learning Objectives
From this essential Webinar you will come away the knowledge and insight to minimize your RAC exposure. You will also:
- Gain an understanding of the use of Medicares inpatient only list
- Know the distinction between inpatient and outpatient surgery and when outpatient procedures may be performed as an inpatient
- Understand the proper use of observation for outpatient surgery
- Learn how to maximize reimbursement for a variety of surgical scenarios while remaining in compliance
- Identify the supervision requirements for different circumstances
About our presenter
This MedLearn webcast seminar is presented by Steven J. Meyerson, M.D., Vice President of Accretive PAS. He is Board Certified in Internal Medicine and Geriatrics. He has recently been the Medical Director of Care Management and a compliance leader of a large Multi Hospital System in Florida. He has distinguished himself by creating innovative service lines and managing education for Accretive PAS.
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