“Finally Friday!” 2014 IP Certification and Order 09 05 13

This session was recorded on Friday, September 6, 2013.

Dr. Hirsch PPT

Medical Necessity Slides by Dr. Hirsch

Dr. Ron Hirsch from Accretive PAS joined us to recap a talk he just did earlier this week at a conference in St. Louis. Ron reviewed for us a part of his presentation, including:

  • The Basis for Reviews
  • New & Old Words Defined
  • Medical Necessity vs. Presumption
  • What Would Medicare Do? (WWMD)
CMS Subreg Guidance 2

IP Certification and Order 09 05 13

However… the majority of the call, we actually spent going over a NEW document from CMS — what appears to be some sub-regulatory guidance on CMS-1599F, the IPPS Final Rule and the 2 Midnight Benchmark.

The document is entitled, “IP Certification and Order 09 05 13” – the first page carries the title, “Hospital Inpatient Admission Order and Certification”

FIND THE DOCUMENTS BELOW

Video Recording


Handouts
 

PDF

Dr. Hirsch’s Slides on Medical Necessity

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IP Certification and Order 09 05 13

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Aug 13 2013 Memo on Pacemakers

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OIG Sept 3 2013 Report on RACs

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IPPS Ruling Explained for Physicians

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CMS-1599F Presentation

 

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