| Want to know what to expect when you attend the Mastering Utilization Review and Patient Status: A NAHRI Virtual Event? Check out our sessions below! | | Tuesday, March 30 - Wednesday, March 31, 2021 | | The Importance of Outpatient Services in the 2-Midnight Rule Benchmark Kimberly Anderwood Hoy, JD, CPC, Director of Medicare and Compliance - HCPro This session will review coverage of outpatient and observation services and how they are counted toward the 2-midnight benchmark. | | The Ins and Outs of Condition Code 44 and Self-Denial Kimberly Anderwood Hoy, JD, CPC, Director of Medicare and Compliance - HCPro Learn when and why self-denials may make more sense than condition code 44, including differences in efficiency and reimbursement. | | Utilization Management Committee: The Needs and the Wants Edward P. Hu, MD, CHCQM-PHYADV, System Executive Director of Hospital Physician Advisor Services - UNC Health Care System This session will review the regulatory basis of utilization management (UM) committees, including composition and required activities. | | Out With the Inpatient-Only List, In With the Inpatient-Probably List Kimberly Anderwood Hoy, JD, CPC, Director of Medicare and Compliance - HCPro Learn the details of CMS’ new rules for procedures formerly on the inpatient-only list and how to deal with the transition period. | | Equipped for Success: What Support Do Physician Advisor Programs Need to Deliver on C-Suite Expectations? Kurt Hopfensperger, MD, JD, Vice President of Medical Solutions - Optum Market Solutions Group This presentation will review the four kinds of support physician advisors must have to deliver the value hospital leadership expects. | | Prior Authorization: Complying With Expanded Guidance Ronald L. Hirsch, MD, FACP, CHCQM, CHRI, Vice President, Physician Advisory Service - R1 RCM This session will review the prior authorization program, including newly approved procedures and the rules and processes necessary to ensure success. | | Utilization Review and Clinical Documentation Integrity: A Yin to Your Yang! Laurie L. Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, CDI Education Specialist - HCPro Utilization review and CDI must collaborate to ensure consistent provider education and messaging as well as long-term organizational success. | Each day will conclude with a live panel Q&A session for attendees to get feedback directly from that day's speakers. | *Agenda subject to change |
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