An intensive course focusing on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) committee. In 2018, CMS made significant changes to the inpatient-only list and continues to change its strategies for auditing patient status. Don’t become a target or leave money on the table—ensure the UR committee is ready to implement and leverage the regulatory requirements. This course also answers all your questions about navigating the CMS website, finding Medicare requirements, proper compliance, and stabilizing inpatient payments for the hospital.
 

At this two-day course you will learn how to:
  

• How to apply the 2-midnight benchmark and 2-midnight presumptions
• Implement changes to the inpatient-only list for 2019
• The differences between 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 coverage with evidence development (CED) affect coverage of cases that meet the 2-midnight benchmark
• The observation coverage rules and how they interact with the 2-midnight benchmark
• When ABNs and HINNs should be used for stays that don’t meet medical necessity requirements

Need to train a group?

customer@simplifycompliance.com | 800-650-6787 | www.hcmarketplace.com

©2019 HCPro, a Simplify Compliance brand | All rights reserved
100 Winners Circle, Suite 300, Brentwood, TN 37027


 

You are receiving this message at newsletter@newslettercollector.com as a benefit from HCPro. If you prefer not to receive messages like this in the future, click here to remove yourself from this list or change your email preferences. Your request will be processed within 10 days, as required by law. You may receive additional promotions within that time.
 

MAGNET(TM), MAGNET RECOGNITION PROGRAM(R), and ANCC MAGNET RECOGNITION(R) are trademarks of the American Nurses Credentialing Center (ANCC). The products and services of HCPro are neither sponsored nor endorsed by the ANCC. The acronym "MRP" is not a trademark of HCPro or its parent company. HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC). HCPro is not affiliated in any way with the Institute for Healthcare Improvement (IHI).