Case Management Update: Understanding the Elimination of the Inpatient Only List

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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!

contact hour

American Nurses Credentialing Center (ANCC)
The QHR Health Learning Institute is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Participants who attend 100% of the program and complete a course evaluation will earn one (1) contact hour.

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