Care Coordination Core Content Module 1: Regulatory Functions within Care Coordination

Describe the history of regulations in Care Coordination.

Identify the evolution of Care Coordination specific to reimbursement models, the Affordable Care Act, and quality metrics.

Discuss healthcare trends as they apply to reimbursement.

Identify key steps in the assessment, implementation, evaluation, and transition of patients in the acute care setting.

Explain the Utilization Management and Discharge Planning functions within the CMS Conditions of Participation.