Medicare Compliance & Reimbursement - 2005 Issue 13
Hospital Admissions: Doctors Could Have 30 Days Before Admission To Perform Exam
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Article Overview
This article explains proposed CMS revisions to hospital admission and documentation policies and why they matter for physicians, podiatrists, hospitals, and outpatient surgery settings. It summarizes the broad categories of policy changes under consideration, including timing of preadmission exams, who may perform certain admission-related assessments, confirmation of verbal orders, ordering of drugs and biologicals, and anesthesia follow-up documentation. The discussion is relevant to providers and compliance staff tracking federal hospital rules and their relationship to accreditation and state-law requirements.
Why This Topic Matters
These proposed policy changes could affect who may perform admission-related evaluations, how quickly documentation must be completed, and how hospitals align federal requirements with state law and accreditation standards. That can influence workflow, privileging, compliance, and patient-care processes across inpatient and outpatient settings.
Article Sections
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Podiatrists may gain hospital admitting privileges
This section discusses proposed CMS changes related to hospital admitting privileges and preadmission history-and-physical timing. It also places the proposal in the context of hospital care, outpatient surgery, and accreditation-related policy differences.
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Verbal orders and medication ordering
This section covers proposed revisions involving confirmation of verbal orders and responsibility for ordering drugs and biologicals. It also notes an exception related to certain vaccines and references state-law and hospital-policy considerations.
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Anesthesia documentation
This section addresses a proposed change to who may complete the postanesthesia follow-up report. It focuses on documentation requirements within anesthesia services.
What You Will Learn
- What CMS is proposing for hospital admission-related policies
- How preadmission assessment timing may be affected
- What types of staff may be involved in admission and documentation processes
- How verbal order confirmation requirements may be updated
- How anesthesia follow-up documentation requirements may change
Who Should Read This
- Physicians
- Podiatrists
- Hospital compliance staff
- Medical coders
- Health information management professionals
- Outpatient surgery staff
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