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Observing the regulatory nuances of observation services

Ronald Hirsch (rhirsch@r1rcm.com) is Vice President at R1 RCM Inc. based in Murray, UT.

One of the most common services provided to hospital patients is observation, but there remains significant confusion and ambiguity in the ordering, provision, and billing of observation services. The changing healthcare landscape has also contributed to this, with more Medicare beneficiaries electing to enroll with a Medicare Advantage (MA) plan every year.

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