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A Review of the Conditions of Participation for Utilization Review: Are you Comp

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Description: 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=TSL_LN

Discount Coupon : Use this Coupon (NEW2COMPLIANCE) 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.

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
URL: https://www.compliancekey.us/webinarDetails?industryId=3&webinarid=1577&speakerid=214&source=TSL_LN
Date: Wednesday, April 1, 2020
Time: 3:30pm-4:30pm UTC
Duration: 1 hour
Access: Public
Category: Health*, Webinar*
Created by: Public Access
Updated: Monday, March 23, 2020 9:10am UTC
Cost ($): 149
Call In Number: 717-208-8666
Contact Email: support@compliancekey.us
Contact Person: Compliance Key
Contact Phone: 7172088666
Comments: None



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