507: MYSSION: Monitoring Your Short Stays and Observation Nights  

Speakers:

Amy M. Gendron, Dir Clinical & Regulatory Compliance, Trinity Health

Patricia J. Hamon, OI Specialist, Trinity Health


  • Overview of regulatory changes and impact of the Two-Midnight Rule. Contractor and QIO reviews of short stays
  • Claims submission requirements and reimbursement impact examples of Condition Codes 44 and W2 for stays that do not meet inpatient requirements
  • Comprehensive demonstration of trended metrics to analyze and assist in determining if your Case Management, Utilization Review and Post discharge self- audit program is working effectively. Recommendations for process improvement


Presentation & handouts

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