Key Issues on Physician Supervision and Observation Services (Three-part webinar series)
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Format: Audio/video files (.wmv) Part 1 - Physician Supervision and the Provider-Based Rule What are the inherent challenges and benefits involved with provider-based clinics? What requirements are laid out by the provider-based rule? Get the answers to these questions in this session, originally recorded on Oct. 19. Case studies will illustrate the economic advantages and compliance issues related to provider-based clinics. The discussion includes recovery audit contractor audit concerns, “incident-to” requirements, policy “change” vs. policy “clarification,” and many more. Part 2 - Observation Services: Clearing the Confusion This session sheds light on the troublesome concept of observation: Is it a location or a status? How do you differentiate inpatient from outpatient? When does observation begin and end? These questions, and more, are addressed by speaker Duane C. Abbey in Part 2 of this three-part series, originally recorded on Nov. 2. It’s important for hospital staff to understand the Centers for Medicare & Medicaid Services’ approach to observation services and the relationship to inpatient admissions. Coding and reimbursement issues related to observation are everyday realities for your hospital’s staff – this program ensures that they’ll be prepared to face decisions like these in the future. Part 3 - Observation Services: Special Topics This session, recorded on Nov. 16, is the third of the three-part series and builds upon the teachings of Part 2. It delves more deeply into the complex, special issues of observation services. Topics covered will include utilization review physicians and their involvement in decision-making, the definitions and policies of condition code 44, how and when to count observation hours, and more. By the conclusion of this session, and the series as a whole, your staff should have a keen understanding of observation, thus both reducing error and increasing efficiency. |
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Duane Abbey, Ph.D, is a management consultant and president of Abbey & Abbey Consultants in Ames, Iowa. For more than 20 years, Abbey has provided health care consulting on compliance, payment and delivery systems for hospitals, physicians and medical clinics. In addition to his consulting work, Abbey is a popular speaker to hospital associations, medical societies and other groups. He also has published articles and books on health care topics. He earned his graduate degrees from the University of Notre Dame and Iowa State University.
The views expressed by the speaker do not necessarily reflect the policies or opinions of the Texas Hospital Association.


