Attend this webinar to learn how to stream-line your utilization management process and understand the Conditions of Participation for Utilization Review and how they impact your work as a case manager.
Why Should You Attend:
In this jam-packed program, we will discuss the differences between utilization review and utilization management. The process of incorporating medical necessity into the process of utilization management will be explained. This will be followed by a discussion of the compliance components for utilization review including the utilization management plan, the utilization management committee, Condition Code 44, and the two-midnight rule. How to incorporate the two-midnight rule into your utilization management process. Also, the various types of clinical reviews performed by the case manager will be explained.
You will learn whether or not your utilization management committee is effective and compliant.
The various types of Hospital-Issued Notices of Non-Coverage (HINNs) will be described with examples of how they are used.
You will learn strategies for passing a survey on the Conditions of Examples of utilization review committee reports will round out this comprehensive program.
Areas Covered in the Webinar:
Who Will Benefit:
Physical CD-DVD of recorded session will be despatched after 72 hrs on completion of payment
Recorded video session