TY  - BOOK
AU  - Haselden, Laura
TI  - Cheating the Rules of Admission With "Observation"
PY  - 2023///
KW  - *Hospitalization
KW  - *Medicare
KW  - Aged
KW  - Centers for Medicare and Medicaid Services, U.S
KW  - Costs and Cost Analysis
KW  - Hospitals
KW  - Humans
KW  - United States
KW  - MedStar Washington Hospital Center
KW  - Emergency Medicine Health Policy Research Fellowship
KW  - Journal Article
N2  - When physicians admit patients to a hospital, their decisions about where-and to whose professional stewardship and services-those patients belong are influenced by federal policies, of which many clinicians are not aware. The distinction between observation and admission has clinical and ethical implications for patients and practices. The evolution of "observation status" from a clinical tool to a catchall of vague and imprecise meaning has been driven by changes to physician payment and compensation structures, particularly Current Procedural Terminology codes and Centers for Medicare and Medicaid Services regulations, and its current value to clinicians and patients is questionable. This article contextualizes clinicians' admission and observation practices and considers how metrics influence patient costs and how clinicians and organizations are compensated. Copyright 2023 American Medical Association. All Rights Reserved
UR  - https://dx.doi.org/10.1001/amajethics.2023.901
ER  -