For Hospital CM & UR Departments
Medicare Decision Tree Posters for Clinical Excellence
Empower your Case Management and Utilization Review teams with comprehensive, regulation-based decision trees. Professional 2×3 ft posters designed for daily clinical reference.
Professional Decision Tree Posters
Each poster measures 2 feet × 3 feet, perfect for department walls, workstations, and training areas.
EPAS Decision Trees: MUDs, CC44, CC51
Comprehensive decision trees covering Medicare Utilization Days 1-3, Condition Code 44, Outpatient Approaching 2 Midnights, and Condition Code 51.
- Medicare Utilization Day One, Two & Three decision workflows
- Condition Code 44 implementation guidance
- Outpatient Approaching 2 Midnights protocol
- Condition Code 51 compliance pathways
EPAS Decision Trees: Part A/B Rebill
Decision trees for Part B rebilling scenarios including self-audit, new denials, and appeal denied cases based on CMS FY2014 Medicare IPPS Final Rule.
- Rebill for Part B on Self-Audit workflow
- Rebill for Part B if New Denial process
- Rebill for Part B if Appeal Denied guidance
- Timely filing window considerations
Why Choose These Decision Trees?
Developed by healthcare compliance experts to streamline your UR and CM workflows.
CMS Regulation-Based
All decision trees are based on federal legislation and HHS regulations as of 03/22/2021, referencing CMS Pub.100-04 Medicare Claims Processing.
Compliance Ready
Designed to support proper documentation, medical necessity reviews, and appropriate billing practices per CMS FY2014 Medicare IPPS Final Rule.
Quick Reference
Large 2ft × 3ft format makes complex workflows easy to follow during daily case reviews and utilization management activities.
Time-Sensitive Guidance
Includes critical timely filing windows, appeal deadlines, and status determination checkpoints for efficient decision-making.
Order Your Decision Tree Posters
Complete the form below and click submit to send your order via email. Each poster is 2ft x 3ft.