Observation Services Documentation for Proper Coding, Billing and Reimbursement

Recorded Webinar | Duane C. Abbey | From: Jun 24, 2019 - To: Jun 28, 2019

Conquer Your Observation Services Documentation Challenges to Increase Reimbursements in 2019

Documentation requirements for observation services can be highly confusing. The concept of observation services has been evolving for two decades, and the issues surrounding its coding, billing, and payment are still being clarified by CMS. The ambiguity around observation services can lead to costly documentation errors and payment denials, and seriously impact your revenue in 2019.

Increase your 2019 reimbursements by mastering observation services documentation in this information-packed audio conference by healthcare prodigy Duane C. Abbey. Abbey will explain how observation services differ from inpatient admissions—thereby removing what could be the biggest cause of confusion for most. He will explain how payment documentation differs from clinical documentation, and also walk you through what you need to know about physician, nursing, and clinical documentation.

Abbey will discuss charge-capture and proper billing issues relative to the overall documentation process. He will address auditing standards, so that both the documentation and documentation process can be assessed relative to external audits such as the RACs. He will also explain special situations, such as the Over 2-Midnight Rule and the MOON form, relative to documentation.

After attending this session, you will be confident in your ability to correctly document, code, and bill for observation services in 2019. You will know the difference between observation services and inpatient admissions, and also between payment documentation from clinical documentation.

Session Highlights:-

The session will cover the following topics:

  • Observation services
    • Types and levels of services
    • Coding, billing and payment for observation
    • Distinguishing inpatient from outpatient observation
    • Physician supervision
  • Documentation for observation
    • Physician documentation
    • Over 2-midnights rule
    • Use and advantages for an observation log
    • Nursing and clinical documentation
    • Payment documentation versus clinical documentation
    • Care paths for observation services
    • Physician supervision
  • MOON form
  • Auditing observation services
  • Private payer consideration for observation
  • Payment for observation services
    • Physician payment
    • OPPS payment—comprehensive APC 8011
    • Private payer payment
  • Special considerations
    • RAC audits
    • Coordination with ER services and inpatient admissions
  • Other sources of information

Who Should Attend:-

  • Outpatient nursing staff
  • Medical/surgical nursing staff
  • Nurse managers
  • ED nursing staff
  • Utilization review personnel
  • Quality assurance personnel
  • Physicians
  • Non-physician practitioners
  • Coding personnel
  • Billing and claims transaction personnel
  • Chargemaster coordinators
  • Financial analysts
  • Compliance personnel
  • Other interested personnel

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