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Agenda: Preconference
Tuesday, December 4, 2012
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12:00 pm |
Registration Opens
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PRECONFERENCE: GETTING IT RIGHT THE FIRST TIME -- BUILDING A STRONG UTILIZATION REVIEW AND PHYSICIAN ADVISOR PARTNERSHIP
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(Registration optional but required for RAC Certificate Programs)
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1:00 pm |
Welcome and Overview of the Issues
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Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID (Chair)
Presentation Material (Acrobat)
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1:30 pm |
Building a Strong UR Process
- Empowering the UR Function/Staff
- The Compliance ROI from Strong UR
- The Financial ROI from Strong UR
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Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID
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Lori Horrall, RN, BSN, MSM
Manager, Utilization Management, Union Hospital, Terre Haute, IN
Presentation Material (Acrobat)
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2:10 pm |
The Importance of Concurrent Review -- for both ED and Scheduled/Elective Surgery Admissions
- First Level -- Milliman/InterQual Criteria
- Second Level -- Physician Review
- A Look at Selective Cases
- Audience Feedback and Q&A
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Jeffrey E. Epstein, MD
Medical Director, Quality, Case Management and Resource Utilization, Stamford Hospital, Stamford, CT
Presentation Material (Acrobat)
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3:00 pm |
Break
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3:30 pm |
Best Practices from the Field -- Different Models for the Physician Advisor Function -- Part-Time, Full-Time, Outsource, Hybrid
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E. G. "Nick" Ulmer, Jr., MD, CPC
Vice President, Clinical Services and Medical Director for Case Management, Spartanburg Regional Health System, Spartanburg, SC
Presentation Material (Acrobat)
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4:30 pm |
Faculty Q&A and Audience Feedback Regarding Next Steps
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5:00 pm |
Preconference Adjournment
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