Tag Archives: medical necessity

“Finally Friday!” Can You Use Condition Code 44?

The Proper Use of Condition Code 44 – Converting IP to OP with a *NEW* Decision Tree Plus More Scenarios from Dr. Pahuja Watch the Replay and Get the Handouts We’ve recently heard reports that there are many hospitals using … Continue reading

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“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!” 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!” Extrapolation of Medical Necessity by the OIG

This session was recorded on Friday, June 21, 2013. Today’s show is a walk down into the rabbit hole… the rabbit hole that is Extrapolation…  We look into a case where the OIG uses extrapolation to do some strange estimations … Continue reading

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