The 2-Midnight Rule 2016 Update: Comply With the Latest Changes and Educate Physicians - On-Demand
Tuesday, February 23, 2016
Kimberly Anderwood Hoy Baker, JD, CPC
Zachary Fainman, MD
Charles Kanakis, MD
The 2-midnight rule continues to evolve in 2016, causing confusion around inpatient versus outpatient stays. Case managers and healthcare professionals now need to consider developing new processes for determining patient status, implementing new documentation requirements, and educating physicians on these changes.
During this on-demand program, expert speakers Kimberly Anderwood Hoy Baker, JD, CPC, Zachary Fainman, MD, and Charles Kanakis, MD, discuss the evolution of the 2-midnight rule and strategies for physician advisor programs to consider when incorporating its changes, including specific tactics and examples for physician education.
At the conclusion of this on-demand program, participants will be able to:
- Articulate coverage for inpatient services expected to last fewer than two midnights
- Discuss different approaches a physician advisor program can take to adjust to the new amendment to the 2-midnight rule
- Name two physician education strategies
- Identify the number and frequency of QIO requests anticipated for their hospital
- List the requirements for a valid inpatient order
Who Should Attend
- Utilization review directors
- Utilization review managers
- Case management directors
- Case managers
- Compliance officers
- HIM directors and managers
- Utilization review professionals
- Revenue cycle managers
- Physician advisors
- Clinical documentation improvement specialists
- The 2016 amendment to the 2-midnight rule
- Comparison of old rule vs. new rule
- New sub-regulatory guidance implementing the amendment
- Physician advisor perspective
- How this change will affect physician advisors and their processes
- Program considerations for the new rule
- Physician education
- Rule of thumb to assist physician documentation practices
- Documentation education examples
- QIO review
- KEPRO and Livanta information
- Volume and frequency of reviews
- Role of the Recovery Auditor program after the conversion to QIO review
- Inpatient orders
- Requirements for valid orders
- Q&A (not live)
American Health Information Management Association (AHIMA)
The live program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
(CEU’s for this webcast expire on: 2/22/2017)
American Academy of Professional Coders (AAPC)
Continuing education hours valid for Live and On Demand webcast participants
This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. (CEH’s for this webcast expire on: 2/26/2017)
Meet the Speakers
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 more than 20 years of healthcare experience, including more than 10 years devoted to teaching, speaking, and writing about Medicare coverage, payment, and coding regulations and requirements.
Zachary Fainman, MD, is Co-Medical Director and Physician Advisor of Care Management at Advocate Lutheran General Hospital in Park Ridge, Illinois. He provides oversight over Care Management, Social Work, Utilization Management, Government Audit and Clinical Documentation Improvement, a position he has held since 2011. Fainman is the founder of the Physician Advisor Committee, Advocate System and has chaired the committee from its inception until 2014. Fainman speaks at numerous educational forums across the United States covering such topics that include: engaging physicians, documentation for medical necessity, building a leading physician advisor program, the two-midnight rule, and compliance with level of care certification requirements.
Charles Kanakis, MD, is Co-Medical Director and Physician Advisor of Care Management at Advocate Lutheran General Hospital in Park Ridge, Illinois. He provides oversight over Care Management, Social Work, Utilization Management, Government Audit and Clinical Documentation Improvement, a position he has held since 2009. Kanakis has had a Cardiology private practice at Advocate Lutheran General from 1980 to present. He is also on the teaching staff since 1980. Kanakis has written numerous original articles, and has lectured across the country. He has been successful in defending and appealing the government denials from different government agencies, leading the Advocate System with a rate of 90% where his goal is not only to maintain the hospital revenues and receive compensation for services, but also to offer support and needed education to physicians to prevent future audits and denials.
Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:
Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices
Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.
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