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The Medicare Utilization Review for Clinicians 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.  While this library is tailored to clinical professionals, anyone interested in expanding their knowledge of UR concepts would benefit – including compliance officers, revenue cycle staff, and denials staff working with inpatient denials.

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The Medicare Utilization Review for Clinicians is just one component of the All Access Medicare eLearning Library, a comprehensive online education platform that supports clinical, billing, compliance, and revenue integrity professionals throughout the insurance claim revenue cycle – from registration to collections. Explore the additional offerings available through the All Access Medicare eLearning Library:

Case Management and Utilization Review Essentials Skills. Provides the core skills vital to get staff up to speed in an engaging, interactive learning format by providing popular topics essential to case management and covering them in great detail.
Available for stand-alone purchase >>

CHRI Practice Exam.Arms revenue integrity professionals with the knowledge and confidence they need to ready themselves for NAHRI’s Certification in Healthcare Revenue Integrity (CHRI) credential exam. Two practice exam attempts are included. Available for stand-alone purchase >>

Coding Fundamentals for Non-Coders. This library gives hospital administrative, financial, and clinical staff without coding background details about how codes are assigned, what guidelines must be followed, and the basics of reimbursement.
Available in inpatient and outpatient versions and for stand-alone purchase.

Medicare Boot Camp®—Denials and Appeals Online. Provides proven strategies for success and answers questions on denials management and appeals processes. Learners gain a thorough understanding of the audit and appeal process and how to implement this new knowledge. Available for stand-alone purchase >>

Medicare Boot Camp®—Utilization Review Online. Focusing on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) committee. Managing patient status plays a critical role in proper compliance, correct reimbursement, and stabilizing payments for hospitals. Available for stand-alone purchase >>

Revenue Integrity Essential Skills. Newly revised! Covers a range of critical billing, reimbursement, and compliance topics to help hospitals train a wide range of healthcare professionals on the core concepts of revenue integrity. Available for stand-alone purchase >>

New! The Medicare Mastery Workshop Series unlocks the complexities of Medicare billing and compliance with our expertly curated collection of six comprehensive courses designed to help you explain niche or challenging topics with ease. Available for stand-alone purchase >>

Learn how the All Access Medicare eLearning Library can help your organization!

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