Corporate Compliance

Medicare Boot Camp - Utilization Review Version

Medicare Insider, April 15, 2014

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NEW COURSE ADDED!
Seattle — May 19–20

Medicare Boot Camp—Utilization Review Version is an intensive two-day boot camp focusing on the new Medicare requirements for patient status and the role of the utilization review (UR) committee.

UR is no longer the responsibility of a few. No matter your role, the Medicare Boot Camp—Utilization Review Version will teach you how to implement the new rules and leverage them for your facility.

  • Executives, CMOs, VPMAs: Learn how to build an effective UR committee and ensure physician advisors are ready to implement the new rules
  • UR committee members and physician advisors: Get the information you need to make decisions regarding patient status that will be compliant while not leaving any money on the table.
  • Compliance officers: Get a complete understanding of the UR rules so that you can ensure your facility is in compliance.
  • Nurse administrators/case managers: Understand the details of the rules so that you can educate physicians on them.
  • Revenue cycle staff: Learn how managing patient status plays a critical role in correct reimbursement, and can stabilize inpatient reimbursement.
     

Leave class knowing:

  • How to apply the 2-midnight benchmark and 2-midnight presumptions
  • The importance of continued monitoring of physician practice patterns
  • The advantages of post discharge versus  concurrent patient status reviews
  • When self-denial is appropriate to take advantage of Part B payment for an inpatient case
  • How NCDs, LCDs, and CEDs affect coverage of cases that meet the 2-midnight benchmark
  • The observation coverage rules and how they interact with the new benchmark
  • When ABNs should be used for extended stays that don’t meet medical necessity


Instructors teach right from the Medicare regulations, and do not rely on unsupported opinions or rhetoric. We show you where to find the rules and provide citations so that you can find answers to your questions long after the Boot Camp is over.

Visit http://www.hcprobootcamps.com or call 800-780-0584 for agenda and registration information.

 



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