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Webinar: CDI-Case Management/ Utilization Review
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6/3/2020
When: Wednesday, June 3, 2020
12:00 PM
Where: United States
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CDI-Case Management/Utilization Review- Physician Partnership- Saving Your Hospital in 2020 & Beyond in Today’s Environment- 1 CEU
Speakers
John Zelem, MD, FACS, Physician Owner at Streamline Solutions Consulting, Inc.
Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, CCDS, C-CDI, C-DAM, CEO & Founder, Core-CDI, Co-Founder, Top Gun Audit School

Abstract
The Segway to the hospital revenue cycle begins with patient hospitalization and appropriate level of care determinations coupled with timely authorization from payers. Fundamental to this process is complete and accurate physician documentation that best communicates patient care including telling and describing of the patient story and clinical picture in medical necessity establishment, a requirement for all healthcare service provisions. Clinical documentation integrity programs are widespread and deeply ingrained in the majority of hospitals, yet effective documentation that drives medical necessity, optimal level of care determinations and net patient revenue integrity is not being achieved. Attendees of this webinar will gain the following:
  • Why CDI current programs fail to deliver enhanced payer reimbursement with present processes
  • How to redesign, reposition and strengthen Case Management/Utilization Review processes for enhanced efficiencies and strengthened performance including breaking down inefficiently designed silos
  • How to harness powerful synergies in the revenue cycle through formation of strong partnerships
  • What are the key component processes of the Physician Advisor, Case Management, Utilization Review model serving as the foundation for quality of care correlating with quality physician documentation and a high performing revenue cycle
  • What are the Key Performance Indicators to utilize in measuring success of the transformative Physician Advisor Case Management Utilization CDI model