Observation Services: Clearing the Confusion ( Part 1)

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Oct 04, 2012
90 Minutes
Product Description

The Do’s and Don’ts of Observation Services 

When it comes to Observation Services, hospitals leave money on the table because essential points are missed time after time. Join our seasoned professional, Duane Abbey, PhD, CFP and ensure that you and your staff have everything in place to optimize your reimbursements and ward off potential audits. 

You will learn the basics of observation services like how to differentiate between inpatient and outpatient, documentation required for observation services, when does observation start and stop, how to audit observation services, coding/billing injections/infusions for observation, how does the ED Fit into observation, how to handle Post-Operative surgery and more. 

Take A Look At Webinar Outline 

  • Overview of Observation Services

      • Outpatient Services versus Inpatient Admissions
      • Observation as a ‘Status’ versus Being a ‘Bed’
      • Documenting Observation Services
      • Care Paths for Observation Services
  • APC Grouping Logic for Observation
      • The CMS Composite Approach to Observation Payment
      • Composite APC Payment Process
      • Impact on Coding, Billing & Reimbursement
  • CMS’s View of Observation Services
      • The ‘Bed’ Concept
      • Start and Stop Times
      • Direct Admissions to Observation Status
      • Observation for More Than 48 Hours
      • Inpatient Status to Observation Status
  • Condition Code 44
      • CMS Definition
      • Counting Hours After Changing to Outpatient
  • Injections and Infusion in Observation
      • Encounter Approach
      • Who Is Coding and Billing?
  • Post-Operative Observation and Inpatient-Only Procedures
  • ED Involvement in Observation
  • Compliance for Observation Services

      • Care Paths
      • Observation Log
  • Special Challenges for Observation Services

      • Driven by Physicians
      • Quality of Care
      • Need for On-Going Training and Education
  • Exercises and Case Studies

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Who should attend? Outpatient Nursing Staff, Medical/Surgical Nursing Staff, Nurse Managers, ED Nursing Staff, Utilization Review Personnel, Quality Assurance Personnel, Quality Assurance Personnel, Physicians, Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, and Other Interested Personnel


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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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