With denials on the rise nationwide, many institutions are taking a closer look at their utilization management programs as a way to stop unnecessary costs and claim denials for the future.
Learn how to make improvements to strengthen reimbursement and compliance for your institution | | | | | The Medicare Boot Camp®—Utilization Review Version is an intensive course that focuses on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) committee. Managing patient status plays a critical role in proper compliance, correct reimbursement, and stabilizing inpatient payments for the hospital, this class will give you confidence in the determinations you and your organization are making! Understandably time is tight and schedules are busy, but with two different formats, you can take advantage of this important training without being out of the office. |
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| | | | | You will leave this program knowing: |
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| | | | | How to apply the 2-midnight benchmark, including cases with observation |
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| | | | | CMS’ current strategy related to the inpatient only list |
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| | | | | CMS guidance on case-by-case admissions |
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| | | | | The differences between post-discharge versus concurrent patient status reviews |
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| | | | | When self-denial is appropriate to take advantage of Part B payment for an inpatient case |
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| | | | | How NCDs, LCDs, and coverage with evidence development (CED) affect coverage of cases that meet the 2-midnight benchmark |
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| | | | | Looking for a unique training experience for your entire team? We can bring our instructors to you in-person or virtually! |
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