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Auditors ARE looking for noncompliant practices!
Discharge planning for high-acuity patients can be very complex - and full of potential compliance pitfalls. Are Medicare's Recovery Audit Contractors (RACs) looking at discharge planning documentation? You can be sure they are. From this session, you'll take away the tactics for discharge planning improvements, consistent with Medicare guidelines. Highlights:
- STEPS FOR ACHIEVING fully compliant discharge planning and care coordination
- COMMON AREAS OF CHALLENGE, such as three-day qualifying stays for a skilled nursing facility placements
- BEST PRACTICES for developing an interdisciplinary case management team (which involves clinical social workers) and coordinated discharge planning processes
- KEYS TO OVERCOMING system barriers that delay treatments, increase costs and diminish quality of care
- UTILIZATION MANAGEMENT strategies for case management nurses, in support of optimized care coordination and solid medical necessity documentation
About our presenter
Barbara Vandegrift, RN, BSN, MA, is a nursing case management leader, educator and MedLearn senior healthcare consultant with more than 20 years of clinical nursing experience. Her areas of special expertise include the appropriate delivery of case management services in short-term acute hospital settings. Ms. Vandegrift also has worked extensively to assist healthcare organizations with quality management, utilization review, cost avoidance and revenue enhancement. As a member of the MedLearn consulting team, her primary focus is on RAC's medical necessity application.
Provider Accreditation
Lippincott Williams & Wilkins (LWW) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.2 contact hours, the District of Columbia, and Florida #FBN2454. Your certificate is valid in all states.
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