posted by user: ijonaskills || 335 views || tracked by 1 users: [display]

Review of the Conditions 2020 : A Review of the Conditions of Participation for Utilization Review: Are you Compliant?

FacebookTwitterLinkedInGoogle

Link: https://www.compliancekey.us/webinarDetails?industryId=3&webinarid=1577&speakerid=214&source=WCF_LN
 
When Feb 25, 2020 - Feb 25, 2020
Where Online
Submission Deadline Feb 25, 2020
Categories    directors of case management   rn case managers   hospitalist
 

Call For Papers

Topic : A Review of the Conditions of Participation for Utilization Review: Are you Compliant?

Register : https://www.compliancekey.us/webinarDetails?industryId=3&webinarid=1577&speakerid=214&source=WCF_LN

Discount Coupon : Use this Coupon (NEW2COMPLINCE) and get (10% Off) On New Signup

Overview

The Centers for Medicare and Medicaid Services (CMS) provides us with two Conditions of Participation that apply to the work of case management professionals. These include the Conditions of Participation for Discharge Planning and the Conditions of Participation for Utilization Review. This webinar will focus on these rules as they apply to the role of utilization review. For case management departments to be compliant with these regulations, RN and social work case managers must understand these "rules of the road" for utilization review and work within their boundaries.

Areas Covered in the Session :

The differences between utilization review and utilization management
The definition of medical necessity
How to balance financial and clinical medical necessity
Compliance as it relates to utilization management
Conditions of participation for utilization review
Components of a compliant utilization review plan
Components of a compliant utilization review committee
Condition Code 44
Provider Liable

Speaker Profile :

Toni G. Cesta, Ph.D., RN, FAAN is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, providing on-site education to case management staff, and strategies for assisting health care organizations in improving their case management department's efficiency and effectiveness.


Contact Info :
Compliance Key
https://www.compliancekey.us/
Email : support@compliancekey.us
Phone : +1 717-208-8666

Related Resources

REASER 2020   Call for Papers for the 20th Volume (issue 2/2020) of the Review of Applied Socio-Economic Research (June 2019)
Algorithmic Law Paris 2020   Call for Abstracts Symposium Algorithmic Law and Society - Law and Society Review
ChiP 2020   Germany and China - Investor relations under complex conditions
PEERE 2020   PEERE International Conference on Peer Review
FinCausal 2020   Call For Participation FinCausal 2020 Shared Task at FNP-FNS COLING 2020
CIKM 2020   CIKM2020 - Call for Consortium Doctoral Participation
SOFT 2020   6th International Conference on Software Engineering
PDC 2020   Participatory Design Conference PDC2020 - Participation(s) otherwise
ICDIPV 2020   9th International Conference on Digital Image Processing and Vision (ICDIPV 2020)
WiMoA 2020   12th International Conference on Wireless, Mobile Network and Applications