Inpatient Hospital Services Billing, Denials and Reimbursement: Evolving Regulatory and Legal Landscape
Navigating the Interplay of Inpatient and Outpatient Hospitalization Requirements to Withstand Audits and Pursue Appeals
Recording of a 90-minute CLE webinar with Q&A
This CLE course will provide guidance to hospital counsel on the regulatory and CMS policy changes related to inpatient billing and the impact on reimbursement. The panel will provide guidance on how hospitals can meet the new requirements, withstand anticipated audits and pursue appeals.
- Recent changes to federal regulations and CMS policy related to billing for inpatient admissions and claim appeals
- Inpatient admissions vs. outpatient hospitalization services—billing and appeals
- Guidance on meeting new requirements and withstanding anticipated audits and pursuing appeals
The panel will review these and other key questions:
- What are the recent changes to federal regulations and CMS policies related to inpatient billing?
- How do the regulatory and CMS policy changes impact hospitals' policies and determination concerning inpatient admission and reimbursement?
- What steps can counsel take to ensure hospitals meet the new requirements, withstand anticipated audits and successfully pursue appeals?
Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.
The Health Law Partners
Ms. Gustafson practices in all areas of health care law and devotes a substantial portion of her practice to... | Read More
Ms. Gustafson practices in all areas of health care law and devotes a substantial portion of her practice to representing providers in the Recovery Audit Contractor (RAC) and Medicare audit appeals process. She also regularly assists clients with compliance and reimbursement matters.Close
The Health Law Partners
Ms. Pendleton provides counsel to healthcare providers and organizations in a number of areas, including but not... | Read More
Ms. Pendleton provides counsel to healthcare providers and organizations in a number of areas, including but not limited to: compliance, Recovery Audit Contractors (“RAC”), Medicare and other payor audits, fraud and abuse, reimbursement matters, and HIPAA Privacy and Security, and physician staff privilege and licensure matters. She also specializes in legal issues impacting billing and management companies, anesthesia and pain management providers, hospice providers and mental health agencies.Close