Medicare Boot Camp®—Utilization Review Version April 8-9, 2019 | Nashville, TN |
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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
Who should attend? - Utilization review coordinators
- Utilization management managers and directors
- Utilization review committee members
- UR physician advisors
- Case managers
- Care coordinators
- Revenue cycle staff
- Nurse managers
- Compliance officers and auditors
- CFOs, CNOs, and VPs
- Fiscal intermediary personnel
- Healthcare lawyers and consultants
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Need to train a group? Bring our industry-leading instructors to your facility! Hosting a Boot Camp is a cost-effective and convenient solution for training your staff on the latest regulations. For more information, call 877-233-8734 or email H3-NAMS@SimplifyCompliance.com |
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