Get a quick reference guide for UR committee members.
The Patient Status Training Toolkit for Medicare Utilization Review, serves as a quick reference guide for UR committee members. The pocket card portion uses a flow chart and helpful tips to step through the process of verifying patient status determinations. If the committee member determines the patient’s status must be changed, the pocket card provides guidance on next steps. The handbook portion of the toolkit provides clear, concise information on the applicable Medicare regulations, including provision of notices and billing rules, that can be used to help support UR committee members’ patient status recommendations. In addition to an overview of regulatory requirements, the toolkit offers access to downloadable case studies and Medicare resources that will help guide committee members through real-world cases.
Ensure correct patient status determinations in fast-paced environmentsQuickly identify the necessary steps to change a patient’s statusStay up to date on CMS’ latest patient status guidelines, including the 2-midnight benchmark and recent changes to inpatient order requirementsAvoid audit and reimbursement implications due to incorrect patient status determinations
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