In the 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS) final rule, CMS has proposed to eliminate the Inpatient Only (IPO) list over the next three years. As a result, hospitals must understand how this will change current practices around how to determine the appropriate status for surgical admissions.
Learn more about what the change means for hospitals, including:
- Inpatient Only rule history and phased elimination plan
- Two-Midnight rule application in surgical cases
- Strategies to assure appropriate reimbursement and avoid denials
- Documentation requirements to support status decisions
- Department-specific impacts and process change recommendations
*Registration link coming soon!
Learning Objectives:
Participants will learn:
- How to determine if a patient’s procedure is appropriate for inpatient status prior to admission
- How the Two-Midnight rule helps determine status of a surgical patient pre-admission and post-procedure
- Required documentation to support the status determination and avoid denials
Who Should Attend:
- Case Management
- Physician Advisors
- CFOs
- Business Office
- Surgery Managers
