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The Medicare Utilization Review for Clinicians eLearning course explores the detailed rules for observation and inpatient status under Medicare and making determinations under the Conditions of Participation (CoP) for Utilization Review (UR) to effectuate Condition Code 44 changes or post-discharge self-denials. This library is designed for a clinical audience, although anyone seeking more in-depth knowledge of UR concepts would benefit--such as compliance officers, revenue cycle staff, and denials staff working with inpatient denials.
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