In the increasingly complex world of patient rights, notification forms and processes, ensuring hospitalized patients’ rights are protected is critical to obtaining the most appropriate outcome. Yet the number of forms and processes are increasing and confusing. Moreover, patients with similar circumstances must be handled in a different manner depending on what insurance they have. Mishandling disagreements may lead to confrontations and complaints.

During this RACmonitor webinar, Dr. Ronald Hirsch will provide critical details about the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He’ll also walk through other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notification and problem-solving may be needed along with the processes necessary to ensure compliance with patient rights and state and federal guidance.

Why This Is Relevant:

Hospitalized patients have rights when they enter the hospital, both ethical and legal. Ensuring those rights are respected is critical to appropriate outcomes, yet the processes and patient notifications are numerous and confusing. Completion of the required forms and ensuring proper delivery is critical to compliance.

Learning Objectives:

• Implement the new Medicare Appeal Process for Status Changes
• Review patient notices
• Understand the proper way to shift financial liability to a patient
• Create a compliant AMA process
• Explain the intersection of ethics and patient rights and safety

Who Should Attend:

Staff in utilization review, case management, compliance, auditing, revenue integrity, revenue cycle, billing, and coding, as well as physician advisors.