Compliance is now a regular part of Joint Commission and CMS audits, and it matters for patients too. This case management compliance webinar reviews the rules that most affect daily utilization management and discharge planning.
You'll cover the Conditions of Participation, compliance at access points, the 2-Midnight Rule and observation, the NOTICE Act, the Important Message from Medicare, HINNs and changes in patient choice. The Joint Commission monitors these issues for deemed-status hospitals, so they affect your survey results.
The session also covers balancing quality and cost, documenting for compliance, running a compliant UR committee and performing a gap analysis to find and fix compliance gaps.
The Joint Commission, other regulators and CMS are auditing hospitals and case management departments against the Conditions of Participation and other requirements. Every case management professional needs to know how these rules affect their practice.
The session suits directors of case management, quality and social work, compliance officers, RN case managers, social workers, hospitalists and physician advisors.
The Joint Commission, other regulators and CMS are auditing hospitals and case management departments against the Conditions of Participation and other requirements. Every case management professional needs to know how these rules affect their practice.
The session suits directors of case management, quality and social work, compliance officers, RN case managers, social workers, hospitalists and physician advisors.
Toni G. Cesta
Toni G. Cesta, Ph.D., RN, FAAN is Partner and Health Care Consultant in Case Management Concepts, LLC, a consulting company which assists institutions in designing, implementing and evaluating acute care and community case management models, educating case management professionals and assisting in implementation of case management departmental changes. The author of nine books, and a frequently sought after speaker, lecturer and consultant, Dr. Cesta is considered one of the primary thought leaders in the field of case management. Dr. Cesta writes a monthly column called “Case Management Insider” in the Hospital Case Management journal in which she shares insights and …
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