May 2, 2019
Determining the Proper Patient Status in the ED
Assigning status to likely terminal patients. I received a great question last week and thought I’d share it with you, our readers. This case management manager wanted to know how to determine status for a patient who came into the ED and was deemed unlikely to live past 24 hours.…
June 28, 2018
How Many Hours Are in a Day?
In the Medicare world, 24 hours often does not equal one day. The headline seems to ask a simple question, but in the Medicare compliance and billing world, it’s not. Keeping days and hours clear is crucial. Let’s take a deep dive into that topic, but be prepared for a…
May 3, 2017
Misconceptions Continue to Shroud the MOON
After more than 18 months of planning by the Centers for Medicare & Medicaid Services (CMS) and a mad scramble by hospitals in response to last-minute guidance, the Medicare Outpatient Observation Notice (MOON) is now the law of the land, and has been since it became effective March 8, 2017.…
April 3, 2017
MOON Walkers: Traversing the New Compliance Terrain
On the next edition of Monitor Mondays, Mary Beth Pace, vice president of care management at Trinity Health, will share how her health system is traversing the new compliance landscape of the MOON: the Medicare Outpatient Observation Notice, which became effective March 8. What are they discovering, and how are…
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