Presentation Date: 12/15/2022
Special guest speaker, David Glaser, shareholder at Fredikson & Byron, PA, clarifies widespread misunderstanding of CMS Two-Midnight Rule. David will be covering tips for ensuring the UM team is focused purely on physician expectation, not InterQual or MCG. He will be sharing how outdated Manual provisions may cause people to wrongly conclude inpatient status is improper. His guidance will help those involved in denial and appeal management recognize why auditors are wrong when they deny an admission asserting that the patient “only required an outpatient level of care.” And, he will present the compelling legal argument that Medicare Advantage cannot ignore the 2 midnight rule.
Presented By:
- Denise Wilson, MS, RN, RRT, Senior Vice President, PayerWatch/AppealMasters, President, AHDAM
- David Glaser, Shareholder, Fredikson & Byron, PA