OpenPlacement Community > Questions > Tagged: Obs status

Changing Orders

asked August 23, 2013 | 0 followers | follow | 2 answers

The longer I do this job, the less I understand it! Is anyone willing to share how they change the status order when it is put in wrong on a previous day for Medicare Advantage plans? i.e. doc writes an OBS order then case manager reviews case the next day and it qualifies for InPatient. What do you do after discharge? I understand I cannot back date or write a retro order on a straight Medicare patient. Thanks again!

Medicare Question

asked August 20, 2013 | 0 followers | follow | 3 answers

Can you tell me how you handle the patient who comes in as an inpt and only meets obs at best if anything but can’t change the orders. Do you make the patient observation the next day? How do you bill these? Thanks

Who Should Place a Change Order?

asked August 12, 2013 | 0 followers | follow | 1 answers

When a patient is placed in either OBS or IP, and it is determined that a change is appropriate (either OBS to IP, or a Code 44), the regulations state that a physician must make the status change. A recent MLN article indicated that case management should facilitate this process. My question is this…what physician should make the change? Can it be one of the physician advisors?


Inpatient Status

asked August 9, 2013 | 0 followers | follow | 3 answers

I have a patient that for one reason or another his chart has not been reviewed for a couple days. He was admitted as obs under Medicare and truly met as an inpt. The attending MD did not address the case and now on day three we want to change him to an inpt. Can we do this by documentation by 2 physicians from the UR committee or what is the process? WE usually don’t go back wards but truly feel like he should and did meet criteria as an inpt form the beginning. Thanks

Insurance billing issue- Outpatient surgery

asked May 15, 2013 | 0 followers | follow | 1 answers

Does anyone here know how to deal with insurance billings for obs stay only when the patient underwent an outpatient surgical procedure? We’re having issues dealing with patients coming from the ER under obs status. I would appreciate anyone’s input on this. Thanks!

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