Case Management Virtual Workshop: A Focus on Utilization Management, Patient Status, and Auditing - On-Demand

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Case Management Virtual Workshop: A Focus on Utilization Management, Patient Status, and Auditing - On-Demand

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Case Management Virtual Workshop: A Focus on Utilization Management, Patient Status, and Auditing - On-Demand


Available ON-DEMAND

Presented on:
Tuesday, November 13, 2018

Presented by:
June Stark, RN, BSN, Med

Level of Program:

The role of case management is evolving beyond checking up on patient status as case managers become increasingly involved in analyzing Medicare regulations, tracking insurance authorizations, and studying healthcare reform. Case management’s part in utilization management (UM) is expanding, and case managers need more skills than ever to ensure correct patient status assignment and defend patient charts against audits.

During the first part of this three-hour virtual workshop, expert speaker June Stark, RN, BSN, MEd, will help participants understand the critical role of case managers in today’s UM committees and complex healthcare landscape.

The second part of the workshop will offer strategies for ensuring compliance with patient status requirements, including the 2-midnight rule. An update on BFCC-QIO audits will be provided along with tips for defending chart audits and understanding the audit process.

The final part of the workshop will provide guidance on total hip (THA) and total knee arthroplasty (TKA) patient status assignment, including proactive approaches to ensure your charts can withstand the THA and TKA audits planned for 2020.

Each part of the workshop will be complemented by case studies and Q&A to reinforce learning and ensure your facility is knowledgeable about placing case managers in UM roles.

At the conclusion of this program, participants will be able to:

  • Examine their current practice of applying the 2-midnight rule and identify new strategies for improving compliance
  • Assess their compliance with joint replacement patient status requirements
  • Review best practices for expanding case managers’ involvement in utilization management

Who Should Listen?

  • Case managers
  • Case manager directors
  • Case management managers
  • Physician advisors
  • Utilization management committees
  • CNO
  • CFO
  • Compliance officers
  • Discharge planners
  • Revenue cycle managers
  • Billing managers



  • Part One: Case management's expanding role in uttilization management (UM) for FY 2019
    • Update on UM in today's case management landscape
    • Explanation of UM committee structure and responsibilities with a focus on the role of case managers
    • Case study
    • Q&A
  • Part Two: Update on a 2-midnight rule compliance and BFCC-QIO audits
    • Review of 2-midnight rule compliancce, including the IPPS rule proposal to reduce burden associated with physician orders
    • Update on BFCC-QIO audits of patient status
    • Strategies for defending your charts against audits
    • A walkthrough of the chart audit process
    • Case study
    • Q&A
  • Part Three: Total hip (THA) and total knee arthroplasty (TKA)
    • Guidance on assigning appropriate and compliant patient staus for THA/TKA
    • Steps for preparing your charts now to avoid vulnerabilities when THA/TKA audits begin in 2020
    • Case study
    • Q&A

Continuing Education

American Nurses Credentialing Center (ANCC)
(Nursing contact hours valid for live webcast participant only) - HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.This educational activity for _3_ nursing contact hours is provided by HCPro.  

(Ability to claim nursing contact hours for this webinar expires on: 11/12/2019)

(Live + On-Demand) This program has been approved for 3 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

Ability to claim credits for this webcast expires on: 11/12/2019

Meet the Speaker

June Stark, RN, BSN, MEd,

June Stark, RN, BSN, MEd, iInstructor for HCPro's Case Management Boot Camp®, has been a director of case management and social work for more than 20 years in both major Boston teaching hospitals and community-based hospitals. Currently, she is the director of case management and social work at St. Elizabeth’s Medical Center in Boston.

Stark’s long-time experience in case management provides her a unique perspective and understanding of case management's role, operations, and systems. She is a former adjunct facility member at the Regis College School of Nursing in Weston, Massachusetts, where she taught case management and care coordination. She also taught a case management certification course at the University of Southern Maine for many years. 

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $399 value! 

Participation in the webinar is just $399 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.

*This webinar is excluded from the Loyal Listener Library subscription