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Understand the latest UR and patient status requirements | | | | The Hospital Guide to Contemporary Utilization Review, Second Edition, is a comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. The book covers a range of topics, including compliance with the UR Conditions of Participation, legal obligations of a hospital, contract language, and compliant UR plan language, to provide an understanding of the expectations of a UR program. This resource will help you: Facilitate the development of a contemporary UR committee Describe the components of the revenue cycle pertinent to UR Differentiate inpatient and outpatient payment rules Examine the role of the physician advisor as a member of the UR team Assess your own hospital’s UR processes today! | | | For information and helpful free resources for providers to help navigate the current COVID-19 pandemic, we've compiled key resources in a centralized Coronavirus Response Solution Center for your assistance. |
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