Healthcare is a rapidly evolving business. With that, case management departments and professionals must remain current and compliant with new regulatory changes, updates, and best practices. The Centers for Medicare and Medicaid Services (CMS) updates the Conditions of Participation for Utilization Review and Discharge Planning annually. Sometimes there are no significant changes, but in the last two years, both utilization review and discharge planning have progressed in terms of regulatory changes, as well as best practices and IT solutions.
In this webinar, our expert speaker Toni Cesta will review the most recent best practices for utilization review including new information technology solutions that support this role and can make it more efficient. She will discuss the new Conditions of Participation for discharge planning that went into place two years ago. These new expectations from CMS include the additional functions we must perform. In order to be compliant in your practice, you must have a working knowledge of these new requirements and how these affect the practice of case management professionals. Documentation requirements related to discharge planning are more comprehensive than they have been in the past and require that the physician of record participate in the discharge planning documentation as well. Discharge planning must be a team effort. In order to demonstrate that is, documentation must be timely, comprehensive, and complete.
Finally, this webinar will discuss best practices in terms of model designs, roles, and staffing ratios. While models are very important, the staffing ratios to support them are equally as important. We will review the staffing ratios for the most frequently used models, the integrated model, and the collaborative model.
It can be difficult to remain current in your role as a case management professional when your practice and daily work life and busy and you are constantly on the move. Rather than having to read through numerous publications and online information, this webinar will summarize the need-to-know elements of the regulatory issues affecting your practice.
In the recent past, the Conditions of Participation were updated to include additional responsibilities for case managers and physicians. These changes require modifications to the ways in which discharge planning is performed and documented. Case management professionals must be compliant with these new requirements.
Newly emerging IT solutions geared toward clinical reviews are emerging that can help facilitate the UR process.
There are best practices for design, roles, and staffing ratios.
Who Should Attend
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