Observation vs. Inpatient Admission Certification: Be "On Target, Not 'A' Target!"

Medical Grand Rounds

Presenter(s):

  

Alice So, MD, Senior Director, Audit, Compliance, Education, Executive Health Resources

When:

  

Friday, December 7, 2012

Time:

  

12:00 p.m.

Where:

  

Auditorium, Patterson Education Building, Sayre, PA

Videoconferenced to: Big Flats, Corning Centerway, Corning Hospital, Ithaca, & Troy Community Hospital, Pine City and Wellsboro

(Lunch will be provided)

Description:

  

At the conclusion of this activity, participants should be able to:

  • Discuss Medicare specific regulations defining hospital inpatient vs hospital outpatient status. In addition, explain the compliance implications for the patient, physician and hospital.
  • Identify the various national programs that CMS has initiated to audit hospitals and providers to ensure Medicare billing and claim compliance. Also, provide an introduction to auditing techniques by these review bodies and area that will be targeted.
  • Describe techniques to ensure compliance with Medicare regulations. These techniques will ensure consistent billing between the hospital and physician; thus preventing denied claims.

This Program is intended for:

 

General Internists, Family Practitioners, Medical Specialists, Physician Assistants, Nurse Practitioners, Nurses, Fellows, Residents, Medical and Nursing Students, and other Healthcare Professionals.

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Accreditation Statement:

  

"Guthrie Health is accredited by the Pennsylvania Medical Society to sponsor continuing medical education for physicians."

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Designation Statement:

 

"Guthrie Health designates this live activity for a maximum of (1.0) AMA PRA Category I Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity."

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Disclosure/Conflict of Interest Statement:

  

"Faculty and all others who have the ability to control the content of continuing medical education activities sponsored by the Guthrie Health are expected to disclose to the audience whether they do or do not have any real or apparent conflict(s) of interest or other relationships related to the content of their presentation(s).

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