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AUGUST
ISSUE
NW0805: CONTINUING ED CHRONICLE
UTILIZATION REVIEW - EVERYTHING YOU
NEED TO KNOW - PART 1
4
CE hours
TAKE THIS
COURSE NOW ! |
COURSE
OBJECTIVES
1. Discuss Levels of Care used in Utilization Management.
2. Discuss the difference between Observation vs. Inpatient admitting
criteria
3. Discuss 5 principles that will promote efficient health care
through Utilization Management.
OUTLINE
Article 1: Levels of Care
Article 2: Analyzing the "Critical" in Critical Care: Is More
Less or Is Less More?
Article 3: Clinical Levels of Care
Article 4: Best Practices: Using Case Vignettes to Train Clinicians and
Utilization Reviewers to Make Level-of-Care Decisions
Article 5: Strategies for Claims Denials
Article 6: Utilization Management: Issues, Effects, and Future Prospects
Article 7: Observation vs. Inpatient Admitting Criteria
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