- How to incorporate a physician advisor program and an utilization management into an integrated program.
- Best practices in documentation, CDI and telling an enhanced patient story PLUS physician education strategies.
- How to create a collaborate dream team – Contracting, Payer Relations, Provider Challenges, Appeal and Denial Prevention Team and Legal Team.
- How to prepare for the new battlefield: Managed Medicare Part C and Commercial payers.
WHO SHOULD ATTEND?
So who should attend? Here is a non-exclusive list:
- Chief Executive Officers (a good PA-UR program will save money from avoidable denials)
- Chief Financial Officers (a good PA-UR program will save money from avoidable denials, maybe lots of money)
- Chief Medical Officers (if you don’t have a PA, learn how to recruit and train one, whether internal or external; if you do have one, learn how to make him/her more effective in partnership with your ER staff, your UR staff, your hospitalists, and your nursing staff)
- Corporate Compliance Officers (learn how to make the ROI case to the three people listed above)
- Hospital Corporate Counsel (learn what and when to challenge, and what works . . . and what doesn’t)
- External Affairs/Government Affairs Manager (if you have one — you should be meeting with your Member of Congress on this stuff)
- Managed care contracting staff
- And of course all of the following:
- Staff nurses
- Physician advisors
- Utilization review committee members
- Case managers
- Medical coding and billing staff
- CDI staff
- Patient accounts managers
- Other financial and auditing personnel
- Denial management
- Appeal team
- UM team
- Staff nurses