This healthcare webinar will provide the latest guidance and status on implementation and enforcement of the ‘Two-Midnight Rule’, which is a part of the CMS' IPPS 2014 regulations. It will also provide guidance on key steps to implement in order to avoid enforcement difficulties down the road.
This presentation will provide the key steps in the assignment of patient status as well as the documentation necessary to satisfy the regulators. This presentation will also provide a better understanding of the ways that this rule can affect patients, in terms of their out-of-pocket responsibilities and eligibility for a stay in a skilled nursing facility.The presentation will outline best practices for minimizing financial risk to the hospital as well as the patients, and steps to take to avoid unnecessary government audits and reviews.
Why Should You Attend:
The ‘Two-Midnight Rule’ is now a condition of payment, not merely a condition of participation. This rule is continuing to generate confusion, with new guidance and adjustments being issued by CMS on a routine basis. Healthcare providers need to understand the key issues to focus on to protect their organizations from the new risks associated with this rule, and how non-compliance in this area can dovetail with ICD-10 non-compliance. These two areas may each have a devastating impact on revenue, once in effect and enforcement is active.This presentation will provide the key steps in the assignment of patient status as well as the documentation necessary to satisfy the regulators. This presentation will also provide a better understanding of the ways that this rule can affect patients, in terms of their out-of-pocket responsibilities and eligibility for a stay in a skilled nursing facility.The presentation will outline best practices for minimizing financial risk to the hospital as well as the patients, and steps to take to avoid unnecessary government audits and reviews.
Areas Covered in the Webinar:
An overview of the key elements of the ‘Two-Midnight Rule’- An outline of criteria for observation versus inpatient admissions
- Key documentation requirements to correctly document patient status
- Enforcement activity and schedule
- How hospitals can comply and still get audited
- The potential impact of this rule on patients
- Best practices for meeting the ‘Two-Midnight Rule’ requirements
Who Will Benefit:
This webinar will provide valuable assistance to personnel in hospitals, academic medical centers, billing companies, IT vendors and consultants, specifically including:- Compliance Directors/Officers
- CEO
- CFO
- Revenue Cycle Director
- HIM Director
- Billing Office
- Information Systems Manager
- Denials Prevention, Management, and Appeals Personnel
- Case Management
- Clinical Documentation Improvement Specialists
- Internal Audit
- Medical Staff
- Residents and Interns
- Healthcare Counsel/lawyer
- Emergency Department Personnel
- Admissions Office
Course Provider
Susan Lee Walberg,