Observation - Challenges of Coverage and Compliance

This operational-focused Webinar will focus on two areas of observation: patient status and billable hours.

Understanding the difference between an inpatient and observation is key to identifying the correct patient status. Identifying quasi-utilization review leaders is necessary to ensure complete, accurate patient status around the clock. This also will include nurses being aware of the patient status and documenting it accordingly. Are all bedside charges being captured? What are the key elements to billable hours versus hours in a bed? Don’t miss this opportunity to hear from reimbursement expert Day Egusquiza who will discuss the unique issues and challenges with ER to observation, post-procedure to recovery to observation, and direct to observation. Transmittals impacting coverage issues also will be incorporated into the training. Sample tools will be available to all attendees.

Target Audience

This session will benefit staff nurses, nurse managers and directors, utilization review, health information management, patient financial services, compliance and the RAC team.

Learning Objectives

At the conclusion of this program, participants will be able to:

• Distinguish an inpatient from an observation;
• Compare key elements of billable hours versus hours in a bed;
• Assess the impact of transmittals on coverage issues; and
• Identify the role of quasi-UR leaders.
   

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Speakers

Day Egusquiza brings nearly 30 years of experience in health care reimbursement, business office operations, contracting and compliance implementation. Additionally, her experience includes eight years as a director of a physician medical management billing service. She has been an entrepreneur in hospital and physician practice accounts receivable management, and a leader in redesigning numerous organizations. Her work includes providing insight and guidance as a compliance, HIPAA and APC educator to department heads, as well as business operations staff.

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Continuing Education

Continuing Nursing Education:  2.0 hours

Public Accountancy CPE:  1.0 hour

View provider statements, disclosures and requirements for successful completion of continuing education credit.

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Date: April 7
Time: 9:30 - 11:30 a.m. Central
Registration Fee: $225
Recording Download: Included in cost of registration fee
Order by fax/mail

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