CMS IPPS 2014 Final Rule

Status Order• EHR has reviewed over 40,000 complete medicalrecords of medical and surgical cases in ourappeals process.• All were billed as inpatient• 13-18% had an incorrect status order:– “admit to observation”– “admit for observation”– “admit 23 hour observation”• 3-5% lacked a physician signature on the order• 1-2% had no order for status on the medicalrecord26