Saving changes...

Done

Error

Utilization Review Programs: CMS CoPs

Utilization Review Programs: CMS CoPs

Utilization Review Programs: CMS CoPs

Sue Dill Calloway, RN, MSN, JD
Sue Dill Calloway, RN, MSN, JD
on behalf of Relias Academy

$30.00 $ 30.00 $ 30.00

$30.00 $ 30.00 $ 30.00

$ 30.00 $ 30.00 $ 30.00
$ 30.00 $ 30.00 $ 30.00
Normal Price: $30.00 $30.00

Review:

Launch date: 20 Aug 2018
Expiry Date:

Last updated: 15 Oct 2018

Reference: 191987

This course is no longer available

Exam is embedded in the course
No preview available
No Exam Available

Latest User Comments

I would like to...

Description

Utilization review (UR) allows hospitals to monitor and protect themselves and their patients against unnecessary readmissions. It is important to be compliant with UR standards to avoid penalties from the recovery audit contractors and the Office of the Inspector General. During this program, attendees will learn about what information hospitals must have implemented from the CMS CoPs for UR. Preventing unnecessary readmissions is essential. Hospitals that have a higher rate of readmission now receive less money from CMS.

So, what's in your UR plan? Does your hospital have a contract with your state QIO? Is there concise documenting in the chart regarding medical necessity and compliance with the Two-Midnight rule? Our expert will discuss the new MOON forms and provide plans for hospitals to have all necessary documents in their medical records.

Objectives

Describe CMS CoPs for Utilization Review.
On completion of this course, the learner will be able to describe CMS CoPs for Utilization Review.
Explain the medical necessity of documentation by the physician in the medical record.
On completion of this course, the learner will be able to explain the medical necessity of documentation by the physician in the medical record.
Outline changes to CoPs made in tags 652, 653, and 658.
On completion of this course, the learner will be able to outline changes to CoPs made in tags 652, 653, and 658.
Sue Dill Calloway, RN, MSN, JD

Author Information Play Video Bio

Sue Dill Calloway, RN, MSN, JD
on behalf of Relias Academy

Sue is a nurse attorney, medico-legal consultant and long-time educator for nurses, physicians, and other healthcare providers. She is a frequent speaker and is well known across the country in the areas of healthcare law, risk management, and patient safety. She has authored over 100 books and hundreds of articles. For AHC Media, she authored Cracking the Code: Understanding the CMS Hospital CoP Standards on Anesthesia.

Ms. Calloway received her Bachelor of Arts, Bachelor of Science in Nursing, Master of Science in Nursing, and Doctor of Jurisprudence from Capital University in Columbus, Ohio. Additionally, she is certified in healthcare risk management by the American Society for Healthcare Risk Management and is the first in the country to be certified in CMS regulatory compliance.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

Faculty and Disclosures

Sue Dill Calloway

Sue Dill Calloway

Sue Dill Calloway, RN, MSN, JD is a nurse attorney, medico‐legal consultant and long‐time educator for nurses, physicians, and other healthcare providers. She is a frequent speaker and is well known across the country in the areas of healthcare law, risk management, and patient safety. Ms. Calloway received her Bachelor of Arts, Bachelor of Science in Nursing, Master of Science in Nursing, and Doctor of Jurisprudence from Capital University in Columbus, OH. Additionally, she is certified in healthcare risk management by the American Society for Healthcare Risk Management and is the first in the country to be certified in CMS regulatory compliance.

Additional Contributors

Conflicts Declared

Conflicts of Interest declaration by Author:

null

User Reviews (0)

Go Back

Loading...


Saving changes...

Done

Error