Care Coordination Core Content Module 10 : Medicare Program Oversight and Managing Denials

Course Provider
CommonSpirit Health
Learning Objectives
Discuss the fundamentals of denial prevention and management.
Describe your role as a Utilization Management team member specific to denial prevention and management.
Identify avoidable delays and understand the importance of tracking avoidable delays in the EHR.
Understand the role of the Quality Improvement Organization (QIO), Recovery Audit Contractor (RAC), and Medicare Administrative Contractor (MAC).
Course Offering: Seminar, Workshop, or Webinar - On-Demand (previously recorded)
Domain Focus: Care Delivery and Reimbursement Methods
Start Date:
End Date:
CE Credits: 0.50