Utilization Management Workshop Series: Best Practice Applications for the Hospital Setting Part 4-Utilization Management Series Part 4 Recording

Video Transcription

Video Summary

All right. There are those responses. Thank you, everyone. 95% got it correct. Good job. All right. So the concerns with this order that it should never be placed before surgery, an order for observation service can only be used if a patient will likely be admitted as an inpatient after surgery. Excellent. All right. So there are results. Good job, everyone. And that wraps up our study guide today.<br /><br />All right. And let's see, I want to just plug in there. Joanne, she was going to pull up some references this morning, but I think she was remembering her anger. But one thing she was going to pull up this morning was that CMS has a regulation that indicates observation services are short-term and intended to be for two midnight stays or less, for exceptions, short-stay surgeries, right? So there you, and then they give you an example of a couple of types of surgeries where you would see a, probably a lot of the, pardon me, post-wiki-type surgeries that are now done on an outpatient basis. Maybe for a patient who has an IV antibiotic to finish in that period of time. You know, lots of, you're not likely to admit for an observation much. You're not likely to observe very much after a surgery at all. Maybe well afterwards, but not required. So, yes, you're on top of it, right? So you, you're not going to observe them, although we don't advocate necessarily physician advisors anymore, but you would have to have them in the hospital, very good. Excellent. Yeah, no, excellent point, Bev, thank you for those insights. All right. So that wraps up our study guide. So Lindsay, I think you had some more shoutouts maybe on the thanks. Yes, we did. So where are our shoutouts today? You know, I think we kind of, I think I kind of went through it, but I just, you know, Lindsay, and Bev, don't you want to give Lindsay another shoutout? Right now, just thank you, Lindsay. We can't do this without you. You know why we get to have fun, right?<br /><br />Thanks, Lindsay.<br /><br />Yeah, thanks.<br /><br />And we have more shoutouts later. We have some reliance we want to give and just some happiness on this Friday before Thanksgiving. So thanks, everybody. Thanks, Tony. Have a great weekend.<br /><br />You're welcome, Bev. Yes, everyone, enjoy the weekend and happy early Thanksgiving to those in the U.S. Thank you. All right. Talk to you guys later.<br /><br />Great. Bye. All right. So thanks a lot, everybody. And I think that concludes our session here. Just another one for Joanne. It's so disappointing. Even sometimes with an inpatient, and there isn't a problem. There's a next day discharge. There's still an issue. I'm like, "Next day discharge. That's fine. Those happen all the time." Anyway, thank you. Great, everybody. Great, great feedback today. But I understand your obvious frustration with something like this. All right. So it's lunchtime, everybody. Have a great weekend when that comes along, and we'll see you next time. Thank you. Bye.

Keywords

order before surgery

observation service

patient admission

CMS regulation

short-term stay

two midnight stays

outpatient surgeries

IV antibiotic

physician advisors

shoutouts

Thanksgiving

weekend

discharge

inpatient

frustration