“Finally Friday!” The UR Committee Demystified

FRIDAY July 17, 2015:

The UR Committee
Demystified

Best Practices for Today’s
Befuddling Healthcare System

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I’ve been to tons of Staff Meetings in my 40+ year career, how about you? I think it’s always interested to see how twisted some of the attendees are. If you’re llike me, you may never have been to a UR Committee meeting… so let’s ask our speakers this week what it’s like?

Virtually no one likes committee meetings. Ok, well, maybe the leaders do. But I submit that they are, nevertheless, needed (the meetings), if not useful or effective. That said, and I know you may disagree with me, some of them are in fact necessary. And the only committee actually required by CMS ( in their Conditions of Participation) is a hospital’s Utilization Review Committee.

But do you understand the difference between Utilization Review (UR) and Utilization Management (UM)? If not, you are not alone, and perhaps not in the minority, either.

CMS' contribution to making YOUR life meaningful and full. No excuse for being lonely: you MUST form a UR Committee. Find out how and who to invite!

CMS’ contribution to making YOUR life meaningful and full. No excuse for being lonely: you MUST form a UR Committee. Find out how and who to invite!

Fortunately, we have two industry veterans on this week’s show to go over the difference, and give you not only the background of the whole subject, but also will demystify the whole thing AND give you the Keys to Success:

Stefani Daniels and Dr. Ron Hirsch will review and discuss with us:

  • How to get your Board of Directors educated and engaged
  • How to align goals between Management and Clinical Staff
  • How to win over Medical Staff
  • The role of Data, Data and More Data

So listen in, and bring your questions for them!

Tune in on Friday, same Bat Channel, same Bat time…

Watch for our handouts, below…

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Moderators for the Show:

Ernie de los Santos, MBA, SSA, SAC — Faculty Chair at Appeal Academy

Sharon Easterling, MHA, RHIA, CCS, CDIP, CPHM – Revenue Cycle & Appeals Expert and Auditor

William Malm, ND, RN, CMAS, CRCR – Practicing Clinician and Certified Medical Auditor

Stay tuned and listen in!

 

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