Author: Sidney Shindell
Publisher:
ISBN:
Category : Hospital care
Languages : en
Pages : 72
Book Description
A Method of Hospital Utilization Review
Author: Sidney Shindell
Publisher:
ISBN:
Category : Hospital care
Languages : en
Pages : 72
Book Description
Publisher:
ISBN:
Category : Hospital care
Languages : en
Pages : 72
Book Description
The Hospital Guide to Contemporary Utilization Review
Author: Stefani Daniels
Publisher:
ISBN: 9781556452147
Category : Hospital utilization
Languages : en
Pages : 0
Book Description
The Hospital Guide to Contemporary Utilization Review is a comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. This book focuses on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations. The book covers a range of topics, including compliance with the UR Condition of Participation, legal obligations of a hospital, contract language, and compliant UR plan language to provide an understanding of the expectations of a UR program. Tips for intradepartmental collaboration are included to guide professionals through the process of selecting a physician advisor and partnering with nurses, case managers, and revenue cycle team members. This book will help you do the following: Identify the components of a best practice hospital utilization review (UR) program Describe the legal obligations of the hospital to comply with chapter 42 CFR 482.30 of the Conditions of Participation (CoP) Use the publication as a tool to assess his or her own hospital's UR processes Summarize the benefits of a dedicated UR team to promote compliance with the CoP Facilitate the development of a contemporary UR committee Assess an organization's opportunities to improve processes to benefit patient care and hospital success Recommend compliant language for the organization's UR plan Construct commercial contract language, in collaboration with the organization's contract manager, that promotes a partnership to ensure appropriate use of acute care resources Seek out operational resources to perform high-quality reviews that fully comply with the CoP Explain the connection between a good utilization review plan and the hospital revenue cycle initiatives
Publisher:
ISBN: 9781556452147
Category : Hospital utilization
Languages : en
Pages : 0
Book Description
The Hospital Guide to Contemporary Utilization Review is a comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. This book focuses on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations. The book covers a range of topics, including compliance with the UR Condition of Participation, legal obligations of a hospital, contract language, and compliant UR plan language to provide an understanding of the expectations of a UR program. Tips for intradepartmental collaboration are included to guide professionals through the process of selecting a physician advisor and partnering with nurses, case managers, and revenue cycle team members. This book will help you do the following: Identify the components of a best practice hospital utilization review (UR) program Describe the legal obligations of the hospital to comply with chapter 42 CFR 482.30 of the Conditions of Participation (CoP) Use the publication as a tool to assess his or her own hospital's UR processes Summarize the benefits of a dedicated UR team to promote compliance with the CoP Facilitate the development of a contemporary UR committee Assess an organization's opportunities to improve processes to benefit patient care and hospital success Recommend compliant language for the organization's UR plan Construct commercial contract language, in collaboration with the organization's contract manager, that promotes a partnership to ensure appropriate use of acute care resources Seek out operational resources to perform high-quality reviews that fully comply with the CoP Explain the connection between a good utilization review plan and the hospital revenue cycle initiatives
Hospital Utilization Review Committees
Author: United States. Public Health Service. Division of Community Health Services
Publisher:
ISBN:
Category : Hospital care
Languages : en
Pages : 24
Book Description
Publisher:
ISBN:
Category : Hospital care
Languages : en
Pages : 24
Book Description
Hospital Utilization Review and Medicare
Author: Rona Beth Schumer
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 130
Book Description
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 130
Book Description
A Method of Hospital Utilization Review, by Sidney Shindell [and] Morris London. Editorial and Production Assistance by Blue Cross of Western Pennsylvania
Author: Sidney Shindell
Publisher:
ISBN:
Category : Hospital care
Languages : en
Pages : 64
Book Description
Publisher:
ISBN:
Category : Hospital care
Languages : en
Pages : 64
Book Description
Hospital Day Appropriateness Criteria
Author: Gerard Michael Doherty
Publisher:
ISBN:
Category : Hospital utilization
Languages : en
Pages : 92
Book Description
Publisher:
ISBN:
Category : Hospital utilization
Languages : en
Pages : 92
Book Description
Controlling Costs and Changing Patient Care?
Author: Committee on Utilization Management by Third Parties
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 330
Book Description
Utilization management brings patient-level and system-level concerns together and represents a new nexus of relations among pagers, practitioners, hospitals, and patients. This report bears both on generic issues of knowledge and values, and on issues specific to current organizations and procedures for influencing patient care decisions. For private and public policymakers. Annotation copyrighted by Book News, Inc., Portland, OR
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 330
Book Description
Utilization management brings patient-level and system-level concerns together and represents a new nexus of relations among pagers, practitioners, hospitals, and patients. This report bears both on generic issues of knowledge and values, and on issues specific to current organizations and procedures for influencing patient care decisions. For private and public policymakers. Annotation copyrighted by Book News, Inc., Portland, OR
The Hospital Guide to Contemporary Utilization Review
Author: Stefani Daniels
Publisher:
ISBN: 9781683087144
Category : Medical care
Languages : en
Pages : 141
Book Description
Publisher:
ISBN: 9781683087144
Category : Medical care
Languages : en
Pages : 141
Book Description
The Use of the Hospital Utilization Review Manual Criteria and Record Abstracts for Medical Record Review in a Hospital Committee Setting
Author:
Publisher:
ISBN:
Category : Hospital records
Languages : en
Pages : 240
Book Description
Publisher:
ISBN:
Category : Hospital records
Languages : en
Pages : 240
Book Description
Managed Care Pharmacy Practice
Author: Navarro
Publisher: Jones & Bartlett Publishers
ISBN: 076378883X
Category : Medical
Languages : en
Pages : 659
Book Description
Managed Care Pharmacy Practice, Second Edition offers information critical to the development and operation of a managed care pharmacy program. The text also covers the changes that have taken place within the delivery of pharmacy services, as well as the evolving role of pharmacists.
Publisher: Jones & Bartlett Publishers
ISBN: 076378883X
Category : Medical
Languages : en
Pages : 659
Book Description
Managed Care Pharmacy Practice, Second Edition offers information critical to the development and operation of a managed care pharmacy program. The text also covers the changes that have taken place within the delivery of pharmacy services, as well as the evolving role of pharmacists.