I have been messing around with a few OBS claims that have been kicking out as a payer reject trying to figure how to get them through when the patient is over 48 hours of OBS. Nothing was working. I called Medicare today and I talked with a rep. She said they are getting calls on this and they have been instructed to direct providers to review the internet only manual 100.01 / Chapter 4 / Section 290.1 and 290.2 ). This basically reviews when the OBS stay should start and end in the documentation. She said that it should be very rare that the patient should go over 48 hours of OBS. I ask so if in the “rare” occasion happens and the patient does go over 48 of OBS, how should we report this – she could not answer that. All she could say is that the manual should be reviewed and that they will not allow OBS claims over 48 hours.
So how are you reporting these “rare” occasions When the patient does go over 48 of OBS? how should we report this to avoid received these rejects from Medicare?
Your help is much appreciated.
So how are you reporting these “rare” occasions When the patient does go over 48 of OBS? how should we report this to avoid received these rejects from Medicare?
Your help is much appreciated.
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