Product Details

 

Utilization review (UR) allows hospitals to monitor and protect themselves and their patients against unnecessary readmissions. It is important to be compliant with the UR standards to avoid penalties from the Recovery Audit Contractors and the Office of the Inspector General. During this program, attendees will learn about CoPs for UR, the new outpatient MOON forms, state QIOs, and the two-midnight rule. Our expert will provide plans for hospitals to implement in order to comply with the UR standards and prevent unnecessary readmissions.

What can your hospital do to prevent readmissions?

Call us at 800.688.2421 or add this event to your cart above.

 

After this webinar, participants will be able to:

1. Describe CMS CoPs for Utilization Review.
2. Explain the medical necessity of documentation by the physician in the medical record.
3. Describe what is required for a UR committee.
4. List 3 revised tag numbers.

 

Agenda topics:

 

- Admission or continued stay	- Changes to accreditation organizations	- UR plan requirements & activities
- 3 tag number revisions	- Functions of a UR committee	- Patient service changes
- MOON forms	- UR under Tag 652	- UR procedures
- Agreement with state QIO	- Discharge screens	- Scope of reviews
- Medical necessity	- Observation vs. inpatient admission	- TJC adding UR plan
- Two-midnight rule	- Recovery Audit Contractors	- 2018 proposed changes
- IMPACT Act	- Physicians & non-physician providers	And so much more!

 

Your Speaker: Sue Dill Calloway, RN, MSN, JD

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.

Target Audience:

Anyone involved with or interested in utilizatoin review, including but not limited to: Utilization Review Committee, Transitional Nurses, UR Nurses, CEOs, CFOs, COOs, CMOs, CNOs, CE Directors, Department Directors, Quality Improvement Staff, Physicians, Nurses (all levels), Compliance Officers, CMS Liaisons, TJC Liaisons, Safety Officers and Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Social Workers, Discharge Planners, Case Managers, Hospice Staff and Regulatory Affairs Staff.