The Business of Health Care
This activity will provide participants with an overview clarifying the dynamics by which the business of health care is affected by the processes of capturing a patient’s reason for their visit and the care provided in response. With a focus on accurate coding that justifies patient services or procedures performed by the provider, it will examine the role of diagnostic-related group (DRG) classifications in payment determination under the inpatient prospective payment system (IPPS), payment systems, ICD-10 coding requirements and payer criteria. The roles of revenue cycles, payer methodologies and patient access in the business of health care will also be examined.
Category
  • Case management
Format
  • Online Education
Credits
  • 0.50 ANCC - Nurses
  • 0.50 Attendance - General Attendance
  • 0.50 CCMC - General - Case Managers
  • 0.50 ASWB - Social Workers
Assertiveness and Conflict Resolution
While conflict is an expected part of daily interactions within the health care setting, unresolved conflict can disrupt team functioning, lower morale, decrease productivity and increase stress among health care professionals, profoundly diminishing patient care and organizational performance. This activity will focus on skills and strategies to develop assertiveness and recognize and resolve conflict professionally. Participants will be guided through the nuances of conflict within the workplace and learn how to use assertive communication to turn conflict into opportunities for growth, collaboration and professional development.
Category
  • Case management
Format
  • Online Education
Credits
  • 1.00 ANCC - Nurses
  • 1.00 Attendance - General Attendance
  • 1.00 CCMC - General - Case Managers
  • 1.00 ASWB - Social Workers
The CMS’ Two-Midnight Rule and Medical Necessity
Understanding and applying the concept of medical necessity and the Centers for Medicare & Medicaid Services’ (CMS’) Two-Midnight Rule are paramount to ensuring both compliance and high-quality care for patients who are admitted to the hospital. This activity, which includes interactive case studies, will examine the factors that impact medical necessity and the types of reviews that can be applied. It will provide participants with an improved ability to navigate these regulations and practical insight into effectively integrating these standards into their daily practice.
Category
  • Case management
Format
  • Online Education
Credits
  • 1.00 ANCC - Nurses
  • 1.00 Attendance - General Attendance
  • 1.00 CCMC - General - Case Managers
  • 1.00 ASWB - Social Workers