Outpatient Observation Billing, Coding and Documentation Challenges for Medicare and Medicare Advantage Patients

During this hour-long presentation we will reviewing Medicare guidance for billing and coding of observation services, medical necessity for observation services, observation and CMS Two-Midnight Benchmark, and Occurrence Span Code 72. We will discuss the CMS proposed rule CMS 4201-P to further codify utilization requirements for Medicare Advantage plans as well as regulations currently in place that should influence observation stays greater than 2 midnights for MA plans.