Compliance Measures for Case Managers

Live Webinar | Toni Cesta | From: May 09, 2019 - To: Dec 31, 2019

This program will review the compliance issues that most greatly impact your practice such as the 2-midnight rule, the NOTICE Act, HINNs, the important message from Medicare and others. The Joint Commission is now monitoring these issues when they have deemed status from Medicare, so your compliance is critical to a good Joint Commission survey outcome. This program will help you to identify where you may have compliance practice gaps as well as how to fix them.

Why Should You Attend:-

As a case manager you may not be up-to-date on all the compliance issues affecting case managers in the acute care setting. While some of them have been around for years, others are fairly new. Some are directly linked to reimbursement.

Our ability to remain compliant has become an element of audits from accrediting bodies such as the Joint Commission as well as the Centers for Medicare and Medicaid Services (CMS). It is the right thing to do for patients as well.

By attending this session you will be able to ensure that you understand the compliance issues directly related to the practice of case management and that you have incorporated them into your daily practice. Compliance includes documentation and communication with the patient and family as well. Be sure that your processes are hard-wired and part of your daily routine.

Areas Covered in the Webinar:-

  • Compliance Overview for Case Managers
  • Balancing Quality and Cost
  • The Conditions of Participation
  • Compliance at the Access Points
  • The 2-Midnight Rule and Observation
  • The NOTICE Act
  • The Important Message from Medicare
  • The HINN
  • Changes in Patient Choice
  • Utilization Management and Compliance
  • Documenting for Compliance
  • How to Perform a Compliance Gap Analysis
  • Compliant UR Committee

Who Will Benefit:-

  • Case Management Directors
  • Compliance Officers
  • RN Case Managers
  • Quality Management Directors
  • Social Workers
  • Hospitalists
  • Physician Advisor

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