Observation Services: Just Where Are We?

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Nov 08, 2012
60 Minutes
Product Description

Complex Or Special Circumstances Can Throw You For A Loop When It Comes To Observation Service Payments. Learn How To Handle It Like A Pro.

This detailed audio conference will address complex-and special issues surrounding observation services.  This session delves into troublesome issues involving observation services.

Join our seasoned professional, Duane Abbey, PhD, CFP, and ensure that you're ready to handle the troublesome issues that affect physicians, nursing staff, coders and billers alike. 

What you'll learn:

  • How Is The Concept of Observation Changing?
  • How Do We Differentiate Inpatient from Outpatient?
  • How Should Condition Code 44 Be Used?
  • What Are the Observation RAC Issues?
  • How Does Utilization Review Become Involved in Observation?
  • Must There Be A UR Physician?
  • Who Can Decide That A Patient Is To Be Discharged From Observation?
  • Why Is CMS Using the Phrase ‘Referred to Observation’?
  • What Observation Policies & Procedures Should Be In Place?
  • How Should Medical Staff Be Trained for Observation?
  • How Should We Count Observation Hours?
  • How Can We Audit Observation Services
  • How Do We Handle Inpatient Admissions That Should Have Been Observation?
  • What Is the O’Connor Hospital Ruling?
  • How Does Nursing Staff Influence Observation Status to Ensure Proper Payment?
  • How Does the DRG Pre-Admission Window Fit Into Observation?


  • Review of Observation Basics
  • Counting Observation Hours.
  • Utilization Review Committee
  • Condition Code 44
  • Special Observation Issues
  • RAC Involvement With Observation
  • Case Studies and Exercises

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....   More Info
More Events By The Speaker

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