Observation Or Acute Care Status?

By Tom Tinsman, MD I’d like to mention some additional review suggestions that should be helpful in your review work. These were illuminated by our latest Interrater Reliability (IRR) study. When a patient is admitted for a scheduled procedure, where the normal,...

Physician ReviewNews – Winter 2018

We hope the holidays find you all healthy and happy. As physicians, we know you all work very hard all the time. While everyone else seems to be taking off to celebrate the holidays, you are still taking care of your patients. We appreciate your dedication and are...

Update on Inpatient Reviews

By Tom Tinsman, MD The physician advisor review of medical necessity of inpatient stays, either when the question concerns the necessity of an initial inpatient admission, or subsequent days of the stay, is one of the more important functions of review. It is where...