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Please join us for this intense one-day program that will give you the skills to succeed as a case manager or social worker in the new era of value-based reimbursement and accountable care. The world of healthcare is changing so rapidly and so is the role of case management in that world! Whether you are reading or hearing about value-based reimbursement, the Affordable Care Act, the continuum of care, bundled payments, transitions in care, or accountable care organizations, case management is at the center of it all!
Because things are changing so rapidly, it can be a challenge to stay current and knowledgeable in the issues that most greatly impact your role as an acute care case manager or social worker. Reimbursement has changed dramatically as has utilization management, transitional planning and compliance. The Centers for Medicare and Medicaid Services (CMS) has incorporated changes that impact on payments related to readmissions, length of stay and cost of care. Who is in a better place to address these issues than case managers and social workers! Finally, how do you measure your impact on the cost and quality of care and the reimbursement your organization receives for that care?
All these topics and more will be covered in this jam-packed one-day program. The day will start with an overview of the state of the art in case management today, how we got here, and where we are going in the future. From there we will discuss the often-confusing subject of all the roles that occur in best practice departments.
You will learn more about the complimentary, but separate roles of RN case managers and social work case managers. From there, we will address best practice case management department models. We will then review what utilization management and transitional planning really mean under the current CMS rules and the new CMS proposed rules. We will end our series with a discussion on the best ways to measure the outcomes of your case management department and its impact on the organization.
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