Download or read book Guide to Utilization Review for Psychiatric Hospitals written by and published by . This book was released on 1968 with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Physician s Guide to Utilization Review written by Marshall R. Levine and published by F. A. Davis Company. This book was released on 1987 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Hospital Guide to Contemporary Utilization Review written by Stefani Daniels and published by . This book was released on 2015-04-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hospital Guide to Contemporary Utilization Review is a comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. This book focuses on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations. The book covers a range of topics, including compliance with the UR Condition of Participation, legal obligations of a hospital, contract language, and compliant UR plan language to provide an understanding of the expectations of a UR program. Tips for intradepartmental collaboration are included to guide professionals through the process of selecting a physician advisor and partnering with nurses, case managers, and revenue cycle team members. This book will help you do the following: Identify the components of a best practice hospital utilization review (UR) program Describe the legal obligations of the hospital to comply with chapter 42 CFR 482.30 of the Conditions of Participation (CoP) Use the publication as a tool to assess his or her own hospital's UR processes Summarize the benefits of a dedicated UR team to promote compliance with the CoP Facilitate the development of a contemporary UR committee Assess an organization's opportunities to improve processes to benefit patient care and hospital success Recommend compliant language for the organization's UR plan Construct commercial contract language, in collaboration with the organization's contract manager, that promotes a partnership to ensure appropriate use of acute care resources Seek out operational resources to perform high-quality reviews that fully comply with the CoP Explain the connection between a good utilization review plan and the hospital revenue cycle initiatives
Download or read book A Guide to Utilization Review written by Joanne Lamprey and published by . This book was released on 1991 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Clinician s Guide to Managed Behavioral Care written by William Winston and published by Routledge. This book was released on 2014-02-04 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care is a revolution impacting the practice of clinicians throughout America. The Clinician’s Guide to Managed Behavioral Care, called “a survival kit” and “must reading,” helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more “managed care friendly.” It is newly referenced and updated for clinicians to continue to advocate for their patients and clients.The Clinician’s Guide to Managed Behavioral Care addresses how clinicians can develop and market professional services attuned to the needs of managed care systems, how to best manage the utilization review process, how to re-shape an office practice or hospital-based program to become more “managed care friendly,” and how to best advocate for patients and clients. Readers will understand the history and evolution of attempts to manage mental health care costs and services as well as the emerging clinical, economic, and social trends that will continue to fuel changes in the mental health field in coming years. Importantly, this guide sensitizes readers to the perspectives about mental health care benefits and the treatment field held by the payor community--insurance carriers, HMO’s, and self-insured employers. It allows readers to consider a payor’s view of how professionals can play a crucial role in providing quality services while helping control spiraling mental health care costs--costs that have escalated much faster than other segments of health care.Who can benefit from this book? Practicing psychologists, social workers, psychiatrists, substance abuse counselors, marriage and family therapists, Employee Assistance Professionals, psychiatric nurses, professional counselors, program managers, hospital administrators, and health care marketing professionals will find The Clinician’s Guide to Managed Behavioral Care and invaluable resource.It is often said that in the future, all in the treatment community will be involved in “managing care” and that the most successful clinicians and practices will be those most adept at working with managed care systems on behalf of their patients and clients. This book helps you understand how!Important topics in The Clinician’s Guide to Managed Behavioral Care: the changing marketplace for mental health/substance abuse treatment services assessing market opportunities in light of managed care influences clinical service needs of managed care systems clinical innovations: examples, case studies, vignettes strategies for managing utilization review marketing strategies for office-based practitioners hospital-managed care partnerships contemporary office management strategies to control costs consumers and managed care directory of America’s HMOs directory of America’s Managed Mental Health Care Companies glossary of key terms
Download or read book The Clinician s Guide to Managed Behavioral Care written by Norman Winegar and published by Psychology Press. This book was released on 1996 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care is a revolution impacting the practice of clinicians throughout America. The Clinician's Guide to Managed Behavioral Care, called "a survival kit" and "must reading," helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more "managed care friendly." It is newly referenced and updated for clinicians to continue to advocate for their patients and clients.The Clinician's Guide to Managed Behavioral Care addresses how clinicians can develop and market professional services attuned to the needs of managed care systems, how to best manage the utilization review process, how to re-shape an office practice or hospital-based program to become more "managed care friendly," and how to best advocate for patients and clients. Readers will understand the history and evolution of attempts to manage mental health care costs and services as well as the emerging clinical, economic, and social trends that will continue to fuel changes in the mental health field in coming years. Importantly, this guide sensitizes readers to the perspectives about mental health care benefits and the treatment field held by the payor community--insurance carriers, HMO's, and self-insured employers. It allows readers to consider a payor's view of how professionals can play a crucial role in providing quality services while helping control spiraling mental health care costs--costs that have escalated much faster than other segments of health care.Who can benefit from this book? Practicing psychologists, social workers, psychiatrists, substance abuse counselors, marriage and family therapists, Employee Assistance Professionals, psychiatric nurses, professional counselors, program managers, hospital administrators, and health care marketing professionals will find The Clinician's Guide to Managed Behavioral Care and invaluable resource.It is often said that in the future, all in the treatment community will be involved in "managing care" and that the most successful clinicians and practices will be those most adept at working with managed care systems on behalf of their patients and clients. This book helps you understand how!Important topics in The Clinician's Guide to Managed Behavioral Care: the changing marketplace for mental health/substance abuse treatment services assessing market opportunities in light of managed care influences clinical service needs of managed care systems clinical innovations: examples, case studies, vignettes strategies for managing utilization review marketing strategies for office-based practitioners hospital-managed care partnerships contemporary office management strategies to control costs consumers and managed care directory of America's HMOs directory of America's Managed Mental Health Care Companies glossary of key terms
Download or read book Utilization Review written by Donald C. Riedel and published by . This book was released on 1969 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.
Download or read book Guidelines for Psychiatric Utilization Review in Community Mental Health Centers written by Psychiatric Utilization Review and Evaluation Project and published by . This book was released on 1975* with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hospital Utilization Review and Medicare written by Rona Beth Schumer and published by . This book was released on 1971 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Clinician s Guide to Managed Mental Health Care written by Norman Winegar and published by Routledge. This book was released on 1992 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides an overview of how managed mental health-care systems work, how managed care is reshaping the private mental health/substance abuse treatment delivery system, its implications for clinicians everywhere, and how clinicians may work with, not against, managed care.
Download or read book NHSQIC Annual Bibliography written by National Health Standards and Quality Information Clearinghouse (U.S.) and published by . This book was released on 1981 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Guide for Providers of Mental Health and Addictive Disorder Services in Managed Care Contracting written by and published by . This book was released on 1998 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Mastering Utilization Review written by Lauro Amezcua Patino Fapa, MD and published by Independently Published. This book was released on 2023-08-13 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Utilization review is a pivotal process in inpatient psychiatry for adolescents and adults, playing a critical role in evaluating the necessity, appropriateness, and efficiency of healthcare services. This book offers physicians a comprehensive insight into utilization review, connecting healthcare providers and insurance companies. Key areas covered include medical necessity, treatment planning, length of stay, and navigating appeals and denials. By mastering these aspects, physicians can ensure optimal patient care while safeguarding against unnecessary treatments, thus enhancing the financial stability of their practice.The detailed guidance within the book covers how to effectively document medical necessity, develop evidence-based treatment plans tailored to each patient's needs, and strategize the length of stay based on clinical indicators. Additionally, it provides a roadmap for successful appeals in case of denials. This knowledge is crucial for physicians to optimize insurance coverage and reimbursement, avoiding premature discharges, and subsequent denials.In sum, the book serves as a vital tool for inpatient psychiatric practitioners, offering the knowledge and tools necessary to navigate the complex landscape of utilization review. It strikes a careful balance between patient needs, ethical treatment, and financial considerations, ensuring that the right care is provided without excess, and contributes significantly to the broader discourse on healthcare efficiency and responsibility.
Download or read book Psychiatric Utilization Review written by and published by . This book was released on 1968 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Psychiatric Utilization Review written by Gary L. Tischler and published by . This book was released on 1972* with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Guide for Providers of Mental Health and Addictive Disorder Services in Managed Care Contracting written by Jacqueline C. Leifer and published by . This book was released on 1998 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
