Tag Archives: 48-hour rule

“Finally Friday!” CY2015 OPPS Proposed Rule Report & Confusion on Status Decisions

Two Special Reports, Two Special Guests: Expert Physician Advisor, Dr. Deepak Pahuja Returned to Our Show: Common Misconceptions in Admission Decisions Hear Dr. Pahuja’s Latest Recommendations to Dispel Them Get the Handouts & Watch the Replay Here Dr. Deepak Pahuja, … Continue reading

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“Finally Friday!” Decision Trees for 2-Midnight Rule Conversions

Joining us this week was a panel of experts discussing our handouts, decision trees for: Day One Day Two Day Three & Beyond Conversion of OP to IP Find the PDFs below – download and post, copy, distribute, whatever – … Continue reading

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“Finally Friday!” MAC Probes, AHA Lawsuits, and OIG Reports on E/M

Bill Malm of Craneware reviews some new OIG Reports, foreshadowing perhaps a flood of E/M Audits by CMS contractors. We also hear from Dr. Ron Hirsch of Accretive PAS about some of the insanity coming out of the MACs in Probe and Educate. Jessica Gustafson and Abby Pendleton from The Health Law Partners give us some legal perspective on the OIG postings, and a short review of the recent AHA filing of a mandamus complaint – a filing seeking a judicial remedy to require CMS to “meet statutory deadlines for administrative review of denials” for Medicare claims. Continue reading

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“Finally Friday!” 2014 IPPS Final Rule for Dummies – Part 2

This session was recorded on Friday, September 20, 2013.   Certification Forms & Decision Trees We covered two topics this week, relative to the 2014 IPPS Final Rule, concerning Certification requirements and a set of Decision Trees we have created … Continue reading

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“Finally Friday!” 2014 IPPS Final Rule for Dummies

This session was recorded on Friday, September 13, 2013. Dr. Michael Salvatore from Beebe Medical Center in Lewes, Delaware shares a presentation he just did for the Hospitalists at his hospital, earlier this week. We share his PowerPoint presentation as … Continue reading

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

This session was recorded on Friday, September 6, 2013. 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 … Continue reading

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“Finally Friday!” Overview of FY2014 IPPS Final Rule – The Health Law Partners

This session was recorded on Friday, August 16, 2013. Today’s show is an overview by Abby Pendleton, Esq., of The Health Law Partners, with a report on the IPPS Final Rule for FY2014, specifically the portions that pertain to payment … Continue reading

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“Finally Friday!” FY 2014 IPPS Final Rule: What Do I Do Now? Panel Discussion

This session was recorded on Friday, August 2, 2013. Today’s show is panel discussion with industry experts on what they suggest providers do now, with the imminent approval of the IPPS Final Rule for FY2014.

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