Observation Status; Huge Difference in Revenue, Don't Get in a Trick Bag

Maya Turner, Lead Ambulatory Coding Analyst, Franciscan Alliance .

2023-10-17

  • How Observation is care is the bridge from Office to ED and from ED to Observation and from Observation to Inpatient

  • Evaluation and Management (H and P's, Progress notes, Consultations) is the key for escalation of care

  • Reasons for common denials to request inpatient care based on documentation

  • Understanding the patient's cost share differences (Medicare) when observation care services are performed rather escalated to Inpatient Services

  • Why knowing what the inpatient only list is and how it can make a difference in planned surgeries

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