Hospital Utilization Review Boot Camp: What You Need to Know!

Share This Event

*Registration payment includes Credit Cards and Interfund Transfers ONLY.

Target Audience

Case Managers, Social Workers, Registered Nurses

Description

This workshop is designed and developed to support the continuing education needs of Utilization Review Nurses. Teammates, novices and experts, attend this full day course that provides didactic and practical application of utilization review concepts, aimed at maintaining efficient and effective utilization management.

* Registration will close the Wednesday prior to the date of the event
* Cancellations, transfers and registrations will not be processed after the Monday deadline

Speakers
Melissa Barnhardt, RN, BSN, ACM, IQCI
Jessica Campbell-Hamilton, BSN, RN, CCM, IQCI
Tonya Harrison, MHA, RN, CCM
Amy Makepeace, RN

This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers.

Live Webinar Information
This Live Webinar will be broadcast with Zoom. Instructions to join the Live Webinar will be emailed prior to the event. You can test your computer by going to the Zoom Test Page

Objectives

• Articulate the revenue cycle for hospital payment models. They will have a deeper understanding of coverage for Medicare for Outpatient vs Inpatient coverage and patient liability for both. Participants will be able to articulate coverage for Medicare A, B, C, & D
• Analyze how their task/role impacts the revenue cycle; denials and overall revenue integrity outcomes in the hospital setting; reimbursement related to fee for service and billed charges; and the difference between government and commercial payors
• Identify hospital regulatory guidelines related to Utilization Management. This includes but not limited to notification requirements for patient type changes in benefit coverage; Utilization Management Requirements related to conditions of participation; and the function and requirements of hospital UM committee

Sessions