Utilization Management contributes to hospital successes as it relates to contracts with payers and reimbursement. These courses provide best practices for Utilization Management Programs that aid in the minimization of denials within healthcare facilities.

Best Practice Utilization Management Programs to Minimize Denials: The Foundation

This training will help hospitals' Utilization Management/Case Management teams better understand how hospitals get paid. Participating hospital CEOs, CFOs, Leaders of Managed Care, Care Management, and Utilization Management will also learn what Utilization Management requirements should be in the contracts. The training will show attendees how best to present the clinical information to third party payors in order to obtain authorization and certification for all inpatient and observation days and stays. When this is done correctly, denials and take-backs are minimized.

Suggested Audience: CEO, CFO, Leaders of Managed Care, Care Management, Utilization Management

Best Practice Utilization Management Program to Minimize Denials: Tracking

This training demonstrates several ways to track and trend denials and underpayments. This practice will help the hospital CEO, CFO, Leaders of Managed Care, Care Management, and Utilization Management determine the root cause of decreased reimbursement due to clinical inpatient denials and allow your team to identify and implement preventative actions.

Suggested Audience: CEO, CFO, Leaders of Managed Care, Care Management, Utilization Management