“Finally Friday!” Condition Code 44: Requirements & Review

FRIDAY January 23, 2015:

Condition Code 44:
Requirements & Review

We Review & Discuss Requirements
And Review our Decision Tree

Watch the Replay and Get the Handouts NOW

condition code 44 decision tree

We reviewed the proper use of Condition Code 44 last July, and released our Decision Tree (you are free to use, print, distribute the tree)

Last summer, we reviewed the use of Condition Code 44, which involves a strictly defined and required process of identifying and/or preventing billing issues when an admission is deemed to be inappropriate, and the provider wishes to correct their error, before billing. While this was, according to CMS, imagined to be a “rare” event, there seem to be lots of questions that arise about its use.

To help with all this, we created a Decision Tree to help you keep everything straight. On the show we review the logic and discuss some new “wrinkles” we been getting questions about, on the Google Group, rac-relief.

Intersect offers free education and appeals templates, plus expert appeal writing services and revenue recovery software.

Also, we will have a special guest, Denise Wilson, RN MS RRT, Vice President of Clinical Appeal Services at Intersect Healthcare. Denise will be giving a short preview of what she will be teaching in her complimentary webinar she’s doing next week, Wednesday, Jan. 28 at 1pm ET, entitled, Using Evidence Based Guidelines in the Appeal – Researching and Building Your Library. Find the details about her webinar here, and come hear her on our show, and of course register for her webinar.

We will also be reviewing some news on the latest hearings about the SGR fix (don’t laugh, it could happen), as heard this week before the Subcommittee on Health for the Energy & Commerce Committee of the U.S. House of Representatives.

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Handouts for this Week's Show

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Replay of this week's show

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We Appreciate Our Sponsors for this show:

 Craneware  |  The Health Law Partners | Recovery Analytics

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