'Utilization review' diaporamas de présentation

Introduction to Case Management

Introduction to Case Management. Program Purpose. To provide didactic training necessary for the Case Manager to understand the history and importance of a case management department to the financial integrity of the organization. Program Objectives.

2.94k views • 64 slides

817 views • 61 slides

Introduction to CarePoint Health Plans

Introduction to CarePoint Health Plans. A CarePoint Medicare Advantage and I-SNP training presentation. CarePoint Health Plans. CarePoint Health Plans is an insurance company that shares ownership with Bayonne Medical Center, Christ Hospital and Hoboken University Medical Center

960 views • 44 slides

520 views • 42 slides

518 views • 42 slides

Briefing: MSA Denials Management Date: 20 March 2007 Time: 1510 - 1600

Briefing: MSA Denials Management Date: 20 March 2007 Time: 1510 - 1600 . Objectives. To answer the following questions: What issues affect payment Why did I get that denial or reduced payment? How to identify issues What does that reason for denial or reduction really mean?

520 views • 37 slides

Working To Obtain Insurance for Care: Guidelines for Providers and Families

Working To Obtain Insurance for Care: Guidelines for Providers and Families. Presented at NEDA by Stacey Brown and David Christian, Avalon Hills Lisa S. Kantor, Esq., Kantor & Kantor LLP October, 2011. Three Perspectives on the Process of Obtaining Insurance Coverage. Stacey Brown

377 views • 37 slides

A front end system for wellness and population health Relationship-based coaches from the neighborhood Group-focused beh

Neighborhood Health Coach Model. A front end system for wellness and population health Relationship-based coaches from the neighborhood Group-focused behavior change with tracker feedback Sheila Ryan, PhD, RN,FAAN UNMC CON Omaha, NE.

387 views • 27 slides

HIPAA For Provider Contracting Networks

HIPAA For Provider Contracting Networks . Paul Smith Davis Wright Tremaine LLP One Embarcadero Center Suite 600 San Francisco, CA 94111 (415) 276-6532 paulsmith@dwt.com. HIPAA Summit VIII March 9, 2004. Covered Entities. Health plans

273 views • 20 slides

California Medical Bill Reviewer Certification

401 views • 20 slides

SJI and DUII Utilization Review

195 views • 19 slides

Child and Adolescent Ambulatory Care Restructuring Project

312 views • 18 slides

WCLA MCLE 6-16-11

297 views • 16 slides

Medical Staff CQI

Medical Staff CQI Memorial Hospital Chester, Illinois 3/26/09 Medical Staff Performance Improvement Process: Variety of Indicators which involve all Medical Staff: Active Staff ER Physicians Radiologist Consultants Source of indicators:

810 views • 14 slides

253 views • 14 slides

Admission status orders

Admission status orders. Karen Clark, MD FACP Medical Director Care Management and Utilization Review Professor of Internal Medicine. WVUH. CMS Requires that hospitals review the appropriateness of all admissions as a condition of participation

509 views • 13 slides

Mecklenburg County Area Mental Health, Developmental Disabilities and Substance Abuse Authority

Mecklenburg County Area Mental Health, Developmental Disabilities and Substance Abuse Authority. Local Business Plan Update. Board of County Commissioners: Tom Cox Dan Ramirez H. Parks Helms Jim Puckett Norman A. Mitchell, Sr. Valerie C. Woodard Dumont Clark Ruth Samuelson Bill James

268 views • 13 slides

WCLA MCLE

265 views • 13 slides

235 views • 8 slides

142 views • 5 slides