Case Management Boot Camp: Part 3

Date: 2/12/2019, 1:30 PM - 3:30 PM

Learning Objectives:  
At the conclusion of this session, participants will be able to:
1. Discuss how medical necessity is applied during a clinical review;
2. Implement the correct processes for Condition Code 44 and Provider Liable billing;
3. Discuss the different types of hospital Issued Notices of Non-Coverage (HINN) and when to use
    each type;
4. Explain how to apply utilization review to the two-midnight rule process;
5. Describe how compliance applies to the utilization management process;
6. Implement the basics of discharge planning to their role as a case manager or social worker; and
7. Describe the strategies to be used for best practice discharge planning.
 


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