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  • Print publication year: 2017
  • Online publication date: March 2017

Chapter 68 - Ensuring Financial Viability

from Subpart VD - Financial – The Business of Observation Medicine
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3.Medicare Payment Advisory Committee. A Data Book: Healthcare Spending and the Medicare Program. June 2011:112.
4.Venkatesh, AK, Geisler, BP, Gibson Chambers, JJ, Baugh, CW, Bohan, JS, Schuur, JD. Use of Observation Care in US Emergency Departments, 2001 to 2008. PLoS ONE 2011 09/14;6(9):e24326.
5.MedPac (Medicare Payment Advisory Commission). Report to the Congress Medicare and the Health Delivery System. (Accessed February 20, 2016)
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7.Baugh, CW, Venkatesh, AK, Bohan, JS. Emergency department observation units: A clinical and financial benefit for hospitals. Health Care Manage Rev 2011 Jan–Mar;36(1):2837.
8.Greenberg, RA, Dudley, NC, Rittichier, KK. A reduction in hospitalization, length of stay, and hospital charges for croup with the institution of a pediatric observation unit. Am J Emerg Med 2006 Nov;24(7):818821.
9.Bissey, B. Observation, admission, and RAC - The next perfect storm? IMA Consulting 2008;12.
10.OIG reports reveal Medicare overpayments at several hospitals. Healthcare Finance News. Available at: Accessed February 4, 2016
11.H.R.3590. Patient Protection and Affordable Care Act. 2010:Section 1302.
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14.Jagminas, L, Partridge, R. A comparison of emergency department versus inhospital chest pain observation units. Am J Emerg Med 2005 Mar;23(2):111113.
15.Storrow, AB, Collins, SP, Lyons, MS, Wagoner, LE, Gibler, WB, Lindsell, CJ. Emergency department observation of heart failure: preliminary analysis of safety and cost. Congest Heart Fail 2005 Mar–Apr;11(2):6872.
16.Shen, WK, Decker, WW, Smars, PA, Goyal, DG, Walker, AE, Hodge, DO, et al. Syncope Evaluation in the Emergency Department Study (SEEDS): a multidisciplinary approach to syncope management. Circulation 2004 Dec 14;110(24):36363645.
17.Ross, MA, Compton, S, Richardson, D, Jones, R, Nittis, T, Wilson, A. The use and effectiveness of an emergency department observation unit for elderly patients. Ann Emerg Med 2003 May;41(5):668677.
18.Rydman, RJ, Zalenski, RJ, Roberts, RR, Albrecht, GA, Misiewicz, VM, Kampe, LM, et al. Patient satisfaction with an emergency department chest pain observation unit. Ann Emerg Med 1997 Jan;29(1):109115.
19.Rydman, RJ, Roberts, RR, Albrecht, GL, Zalenski, RJ, McDermott, M. Patient satisfaction with an emergency department asthma observation unit. Acad Emerg Med 1999 Mar;6(3):178183.
20.Tavenner, M. Centers for Medicare & Medicaid Services’ letter to American Hospital Association on extended observation services 2010 July 7th; Letter from CMS Acting Administrator and Chief Operating Office Marilyn Tavenner to AHA President Richard Umbdenstock. – Your Medicare Coverage. Available at: Accessed February 4, 2016.
22.Medicare: FAQs. Available at: Accessed February 4, 2016.
23.Centers for Medicare & Medicaid Services (CMS). Medicare Benefit Policy Manual: Chapter 3 – Duration of Covered Inpatient Services. 2003.
24.The Advisory Board Company. Patients sue HHS over hospital ’observation status’ – The Advisory Board Daily Briefing. 2011. Available at: Accessed February 4, 2016.
25.Berenson, RA, Paulus, RA, Kalman, NS. Medicare’s Readmissions-Reduction Program — A positive alternative. N Engl J Med 2012, March 28; 2012/04.
26.Baugh, CW, Bohan, JS. Estimating observation unit profitability with options modeling. Acad Emerg Med 2008;15(5):445452.