Inpatient or outpatient? Get empowered to make the right patient determination, based on an enhanced understanding of spinal procedures and whether or not they’re on the Medicare IPO list.
RACmonitor recently received this customer request: “Can you offer a webcast that helps us identify which spinal surgeries are included on the inpatient-only list, so we can get those patients correctly and promptly categorized?” Your request is our command — and the timing is ideal because the Medicare IPO list of spinal procedures has changed significantly in 2022.
For physician advisors, case managers, utilization review staff, nurses and others, the challenge is twofold: a) understand exactly which spinal surgery has been performed, prior to knowing the provider’s chosen procedure code, and b) determine whether or not it’s on the IPO list. If you incorrectly categorize an inpatient surgery as outpatient, you could sacrifice substantial compliant revenue and prevent patient use of the Part A skilled nursing benefit. Conversely, an erroneous inpatient admission may lead to a cumbersome code 44 process, a payer denial or an internal denial followed by rebilling.
From our presenter, Dr. Bonny S. Olney, you’ll take away an enhanced understanding of spinal procedures and which ones are on the IPO list, including those that CMS has returned to the list for 2022.
Compliant Medicare payment depends on understanding which spinal procedure has been performed and whether or not it’s on the IPO list. But it can be difficult to deduce this information from operative notes, especially when vital detail is lacking. This exclusive RACmonitor webcast will reinforce your ability to know which spinal procedure has been performed and whether it should be categorized as inpatient or outpatient.
Physician advisors, case managers, utilization review staff and nursing staff.
Only one login is allowed per webcast purchased. Discounted pricing for additional registrants is available.