CMS’ inpatient-only list continues to stump provider organizations and cause significant revenue loss due to misapplication of the rules. Organizations struggle to obtain required inpatient orders, leading to denials that can’t be appealed. Efforts to fix the problem on the front end are often thwarted by inconsistent processes, staffing issues, and lack of resources. Bringing departments and staff together under one process is challenging, but it’s critical to ensuring compliance with inpatient-only regulations and avoiding denials.

Join Maria Johar, MD, and William L. Malm, ND, RN, CRCR, CMAS, as they review CMS’ latest inpatient-only regulations, show where to find updates to the inpatient-only list, and explain how commercial and managed care plans implement inpatient-only rules. You’ll learn how to avoid unnecessary delays and denials by placing key staff members on the front end to ensure required inpatient orders are obtained at the time of scheduling.

What to Expect

This 90-minute program with live Q&A to learn how to design and implement an inpatient-only compliance program at your organization.