Why Should You Attend:
RN case managers and case management leaders need to understand the role of the physician advisor, steps to ensure compliance with federal regulations and methods to improve case management outcomes when using the role of the physician advisor.
In this session Ms. Cunningham will introduce the role of the physician advisor and the important aspects for both staff RN case managers and case management leaders to ensure effective implementation and sustaining of this critical role.
The webinar will focus on regulatory requirements, optimal processes, auditing of effectiveness and the physician advisor impact on outcomes. The webinar will also discuss best practices for developing steps to ensure collaboration with this role, for both internal and external physician advisors. It will further discuss case management outcomes that can be positively affected by the physician advisor role.
Agenda
- Review of the physician advisor role, including the job description
- Examine critical strategies for working with both internal and external physician advisors
- Discuss best practices both RN case managers and case management leaders as they collaborate with the physician advisor
- Describe best practices for auditing physician advisor activities
- Discuss strategies for decreasing hospital risk for noncompliance with conditions of participation and the 2 midnight rule
- Review the role of the physician advisor and the utilization review committee
Who Should Attend
- RN case managers
- Case management leaders
- Appeal and denial case managers
- Utilization review nurses
- Revenue cycle team members
