Friday, December 12, 2025

Condition Code 44:
Foundations, Process Integrity & Scenario 1

Who Should Attend:
Hospital executives, case management leaders,
utilization review teams, and physician advisors.

We again explore real-world questions
about using Condition Code 44
to correct Patient Status

Condition Code 44 remains one of the most frequently misunderstood elements of Medicare compliance, and improper use continues to expose hospitals to denials, self-audit obligations, and survey risk.

In this two-part educational series, our experts will clarify exactly when CC44 is appropriate, how to meet all CMS regs, and how to execute compliant workflows in real practice.

Session 1 focuses on the foundations: required criteria, attending concurrence, documentation integrity, and early identification of inappropriate inpatient admissions.

Participants will also analyze Scenario 1—a classic overnight inpatient admission converted the next morning.

Session 2 (next week) tackles the complex issues: multi-day weekend admissions, delayed UR review, billing considerations for pre- and post-order hours, physician billing implications, and escalation pathways when attendings disagree. Scenario 2 illustrates how to correctly apply CC44—or, when it is no longer permissible, how to execute the W2 self-denial process.

If you deal with UR, case management, discharge planning, physician advising, or revenue integrity… this is your show.

👉Watch the Live or OnDemand: HERE