OHA and Administrative Consultant Service are offering “Inpatient Admission vs. Outpatient Services: A Guide to Denial Prevention and Appeal”

Join your colleagues on April 26 at the OHA office for a day-long program entitled “Inpatient Admission vs. Outpatient Services: A Guide to Denial Prevention and Appeal.” This workshop will review the Social Security Act’s Statutory Obligations and Centers for Medicare and Medicaid Services (CMS) Guidance for appropriate level of care determination (inpatient, outpatient and outpatient with observation services). CMS specific instructions will be used to help hospitals debunk the myths associated with level of care determinations. Key elements of a successful appeal process for proposed admission denials will be outlined including case studies.

Objectives for the program include:

• Identify organizational infrastructure for Utilization Review as prescribed by Medicare Conditions of Participation and current CMS Transmittals.
• Avoid implementation of non-compliant corrective strategies.
• Describe each step of a successful appeal process and the elements of an effective appeal.

Registration materials are available on the education calendar on the OHA Website. Register today! http://www.okoha.com/source/calendar/index.cfm