Ask the Expert

Q: Is there a difference in the documentation requirements for bedside procedures when performed on an inpatient versus outpatient?

Q. What are the requirements for critical access hospitals in relation to the latest proposed Conditions of Participation for discharge planning?

Q: In an outpatient hospital setting, if a patient goes to the floor post-surgery, and the same drugs are continued on the floor, can we charge for their administration? 

Q: How can hospitals set charges for bedside procedures?

Q: You previously talked about drugs with pass-through status beginning in April, but are there any other items with changes in the OPPS update? 

Q: What should the utilization review committee look for when an inpatient stay is less than two midnights?

Q: What should case managers do when a patient lacks decision-making capacity but has no guardian or power of attorney?

Q: Our pharmacy is asking if there is going to be payment for a new anti-hemophilia factor called Nuwiq. They say it is quite expensive and they want to know if there is additional payment for it.

Q: What elements must be included for inpatient certification?

Q: What are some questions case managers can ask during the screening process?