Mastering Utilization Review and Patient Status: A NAHRI Virtual Event


Register Today


Maintaining a sound utilization review (UR) process remains critical in the face of inpatient and outpatient hospital admissions changes due to COVID-19 and the public health emergency. Changes to billing and coding guidelines, as well as a decline in elective procedures, have upended hospital revenue projections. But with a clear understanding of the latest patient status regulations and a robust UR program in place, facilities can work toward ensuring no money is left on the table.

Sign your team up to watch the Mastering Utilization Review and Patient Status: A NAHRI Virtual Event on-demand to learn the latest strategies for concurrent and retrospective UR, Part A to B rebilling, inpatient-only list management, and prior authorization so you can protect your bottom line.

Participating in the Mastering Utilization Review and Patient Status: A NAHRI Virtual Event will allow you to earn valuable CEUs and will provide you with access to all educational sessions for 60 days.

Who should attend?

  • Utilization review, utilization management team members
  • Physician advisors
  • Revenue integrity specialists and analysts
  • Revenue integrity managers, directors, and VPs
  • Revenue cycle managers, directors, and VPs
  • CFOs
  • Finance directors
  • Business office staff
  • Reimbursement managers and directors
  • Case management directors, managers, and staff
  • Chargemaster coordinators
  • HIM managers and directors
  • Coding managers and directors
  • Compliance officers
  • Compliance managers
  • Patient financial services managers
  • Patient financial services staff
  • Payer relations staff
  • Managed care contracting staff

After attending this event, attendees will be able to:

  • Discuss details of CMS’ new rules for procedures formerly on the inpatient-only list
  • Review coverage of outpatient and observation services and how they are counted toward the 2-midnight benchmark
  • Define observation status and the intricacies of observation billing to ensure compliance
  • Review the prior authorization program, including newly approved procedures and the rules and processes
  • Discover how to use the utilization management (UM) committee to go beyond the basic requirements to create greater healthcare value for your hospital
  • Identify ways physician advisors can strengthen revenue integrity while contributing to quality and documentation improvement
  • Describe key elements of support physician advisors need to deliver value
  • Identify ways clinical documentation integrity can support UR functions
  • Understand when and why self-denials can be more effective than using condition code 44