Readmission Reduction Program
Avoid Medicare Reimbursement Cuts with Improved Coordination of Care
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: Reducing Readmissions: A Blueprint for Improving Care
Presented on February 28, 2012
Effective October 1, hospitals with high readmission rates may face a 1%, across-the-board cut in Medicare inpatient reimbursements under CMS’ 2012 Inpatient Prospective Payment System final rule. Learn how your organization can meet the new requirements and avoid a potential big-dollar loss in Medicare payments.
During this 90-minute audio conference, our speakers give you strategies to reduce your readmissions rate; CMS has targeted acute myocardial infarction, heart failure, and pneumonia. You will also hear from a case management director who will discuss her organization’s successful approach to avoid readmissions.
LEARNING OBJECTIVES
- Describe the impact of the Readmission Reduction Program
- Reduce readmission rates in acute myocardial infarction, heart failure, pneumonia
- Achieve buy-in from outside organizations that affect your readmissions rates
- Conduct an internal audit to uncover root causes of readmissions
AGENDA
- Readmission Reduction Program
- Section 3025 of Patient Protection and Affordable Care Act
- New Medicare reimbursement penalties
- Focus areas: acute myocardial infarction, heart failure, pneumonia
- Readmissions historical perspective
- Clinical impact
- Case study: Piedmont Hospital
- Working with chronic-disease patient population
- Getting buy-in from outside organizations
- Implementing operational strategies to avoid readmissions
- Ensuring each case has thorough review
- Strategies for success
- Ongoing monitoring
- Internal audits
- Root causes of readmissions
- A question and answer session follows the presentation.
MEET THE SPEAKERS
Ralph Wuebker, MD, MBA currently serves as Vice President of Audit, Compliance and Education for Executive Health Resources (EHR). At present, more than 1,800 hospital and healthcare organizations across the country are using EHR’s solutions. Dr. Wuebker is Board Certified and continues to practice 3-4 days per month. He currently serves as a member of EHR’s physician education and audit team. He regularly visits EHR’s client hospitals to provide medical executives and staff members with ongoing education on a variety of topics including Medicare and Medicaid compliance and regulations, medical necessity, Recovery Audit Contractors, utilization review, denials management and length of stay.
Barbara Ozmar, RN, BSN, MPH, is the Director of Patient Care Coordination at Piedmont Hospital in Atlanta, GA. Ozmar is an experienced administrative director with progressive administrative experience in Emergency /Trauma Services and Inpatient/Outpatient Care Services with an emphasis in re-engineering operations to support optimal patient care through best practice modeling, process management and focused quality initiatives. She is also experienced in throughput projects, regulatory compliance, human resources, optimizing financial performance, and new service line development.
BONUS MATERIAL
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials plus bonus items. These materials are provided with PDF links.
CONTINUING EDUCATION
CCDS
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).
Please note the expiration date for this audio is 3/13/12.
WHO SHOULD LISTEN?
Case managers, physician advisors, compliance officers, PFS directors, quality and utilization review managers, discharge planners, discharge coordinators, social workers, CDI professionals.
AUDIO ON-DEMAND
Purchase a CD or an audio on-demand of the audio conference and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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