Condition Codes 44 and W2 Training Handbook
Pack includes 5 handbooks
Kimberly Anderwood Hoy Baker, JD, CPC
Through the use of condition codes 44 and W2, hospitals can now be paid under Medicare Part B for certain inpatient cases that they self-deny within a year of the date of service. This training handbook guides utilization review (UR) staff, compliance professionals, physician advisors, billers, case managers, and others through the choices and processes involved in using these codes, allowing them to make the best decisions for their organization’s bottom line.
The Condition Codes 44 and W2 Training Handbook helps staff understand when and how to use condition codes W2 and 44, as well as the effects they have on reimbursement and the revenue cycle. This handbook leads readers through the complex decision-making processes regarding the options for rebilling self-denied claims. Providing clear, concise interpretation of complicated regulatory guidance, the handbook presents the information in practical, easy-to-understand terms for a wide range of hospital professionals.
Staff members that would benefit from this resource include:
UR/UM professionals, Inpatient billing managers and staff, Compliance managers and staff, Nurse auditors, Revenue integrity professionals, Finance professionals, Physician advisors, CFO, HIM managers and directors, Case managers
About the Author
Kimberly Anderwood Hoy Baker, JD, CPC, is the director of Medicare and compliance for HCPro. She is a lead regulatory specialist and lead instructor for HCPro's Medicare Boot Camp®—Hospital Version and Medicare Boot Camp®—Utilization Review Version. She is also an instructor for HCPro’s Medicare Boot Camp®—Critical Access Hospital Version. She is a former hospital compliance officer and in-house legal counsel, and has 10 years of experience teaching, speaking, and writing about Medicare coverage, payment, and coding regulations and requirements.
Published: July 2016