It is an ongoing challenge for case managers to determine whether a patient is more appropriately placed as an inpatient or in observation. Below are some real-life examples provided by Deborah Hale, CCS, CCDS, in the HCPro book Observation Services: A Guide to Compliant Level of Care Determinations.
HHS released its biggest set of modifications to the HIPAA Privacy and Security Rules with the January 17 unveiling of its long-awaited "HIPAA mega rule."