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welcome my name is ellen barra and im with our provider outdocHub and education department this video will discuss the physician impact when a patients status changes from inpatient to outpatient a change from inpatient to outpatient will impact the physicians billing to medicare here is the information we want you to have at the end of this presentation why and how a patients inpatient status may change understand the physicians role in the change and then finally understand the necessary physicians actions hospitals either have on staff or contract with organizations to perform utilization review this is a committee that assists the hospital in determining whether the inpatient stay is medically necessary the committee can look at the admission the length of stay and any services or procedures provided during that stay the committee can make this evaluation about the stay either before during or after the stay the utilization review committee will utilize physician documentation