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Utilization management was the first role applied in acute care case management models. Utilization management was first known as utilization review but has since evolved into something much more comprehensive.
Today, utilization management encompasses elements of resource management as well as denials management. Attendees will learn the role of utilization management as it applies to today’s contemporary case management models. Included will be best practice suggestions for your practice with tips and strategies for streamlining the process and making it as efficient as it can be.
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|- Definition of utilization management||- Utilization review vs. utilization mangement|
|- Essential department activities||- Billing & reimbursement|
|- Best practice in clinical reviews||- Managing utilization from the bedside|
|- Appropriate documentation||- Managing denials before they happen|
|- Physician utilization mangement||- Utilization mangement & your daily routine|
|- CMS rules of utlilzation management||And that's just the beginning!|