Hour 1:

• Utilization Management Job Roles and Duties
• What companies hire for Utilization Management Positions
• What titles are included in Utilization Management roles

Hour 2:

•  Resume optimization
• Cover letter optimization
• LinkedIn Optimization
• Job Applications
 

 Hour 3:

• Acing your interview (in depth guide to answering common and unique interview questions for UM)

 Hour 5 -6:

• Guide to appeals and denials process
• Guide to UM documentation review process
• Guide to CMS chapters 1,7,8 and keys to reviewing for appropriate utilization of resources (such as discharge recommendations, length of stay/plan of care, and reimbursement)

Hour 7: 

• Review of a case from each setting (SNF, acute, home health) and how to use CMS guidelines

• AOTA approved Category: Professional Issues
• 7 Contact Hours
• The PD activity approval number is 0000004783 

 For Physical Therapy:

Approved for 7 CEU hours in the following states:

• Participation in the full training.
• Successful completion of the provided question multiple choice quiz with a 70% score.
• Successful completion of case study/studies provided.

• Introductory
• No prerequisites required

1. Students will be able to correctly identify when CMS chapters 1, 7 or 8 are required to demonstrate and check for proper medical necessity within a OT treatment or evaluation.
2. Students will be able to match the appropriate rule within CMS chapters 1, 7 or 8 that would make a treatment or evaluation ineligible.
3. Students will be able to correctly match which setting is appropriate to refer a patient for based on CMS chapters 1, 7, or 8.

We are determined to make sure you have a wonderful experience! Please email us at [email protected] and we will accommodate any of your needs.

Information provided within this course should be used within scope of practice. This course content is not intended for use by any participants outside the scope of their license or regulation.

Disclosure Statement:
The presenter of this continuing education program HAS NO proprietary interest in a product, instrument, device,
service or material discussed during this event. He does receive an honorarium for his presentation. Any products mentioned in the course are used for example purpose only. 

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