Horty Springer Top 11 Peer Review Best Practices - SESSION EIGHT: Step-by-Step Process for Addressing Medical Necessity and Utilization Issues as Core Components of Your PPE Process
After 30 years of working in the trenches with physician and hospital leaders, and after conducting innumerable onsite training sessions and national courses, HortySpringer’s Paul Verardi has now created an 11-session “on demand” education and training series for physician leaders and hospitals.
This series is designed to be viewed as a whole, with the sessions being like gears in a watch. But it has also been developed so that if you only need assistance with several aspects of this complex area, each individual session delivers on our commitment to provide you with substantive, concrete guidance and to not waste one single minute of your time – i.e., the “no fluff” rule!
This course was designed for hospital administrators, physicians and clinicians who need to be better informed about how to manage and possibly improve their overall performance.
Upon completion of this audio conference, participants will be able to:
- Describe the three related, but different, types of utilization issues that need to be addressed as part of a Medical Staff’s peer review process.
- Implement a step-by-step “best practice” review process for addressing utilization concerns in a consistent, effective, and constructive manner.
- Modernize the role and function of a Utilization Review Committee and ensure that it is contained in the Bylaws as a Medical Staff committee.
There is no educational content to this course. This site is designed to supplement training that has already occurred, to administer the post-test, collect CME evaluations, and issue credit.
Paul A. Verardi, JD. Partner, Horty, Springer & Mattern, PC.
No relationships with industry relevant to the content of this educational activity have been disclosed.
All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above. No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
Joint Provider Accreditation Statement:
In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and HortySpringer Seminars. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
- 1.00 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 1.00 Attendance