Pre-Conference Session*

New in 2018! 

The hospital Physician Advisor to Utilization Management role and its interface with the Case Management team is becoming increasingly important and well defined, even as the role continues to evolve. Leveraging this role for success requires an understanding of the knowledge base that supports the traditional functions of the PA, as well as the opportunities that lie ahead in today's rapidly changing healthcare environment. This course is designed to equip new Physician Advisors with the knowledge required to perform effectively, and for Case Management Directors or Chief Medical Officers looking to improve their Physician Advisor Function.

This session is designed for physicians that are new or considering work in as a physician advisor (PA).  Case Management leaders will also benefit from this comprehensive review of the scope of the PA role.

Foundations for Physician Advisors
Bruce Ermann, MD
IPAS Physician Advisor, CHI IPAS Compliance Lead
East/Southeast IPAS Market Lead, Pacific Northwest IPAS Market Lead, Population Health/Care Management
Catholic Health Initiatives | Englewood, Colorado 

SESSION ABSTRACT: The hospital physician advisor (PA) to utilization management (UM) role and
its interface with the case management team are becoming increasingly important and well defined,
even as the role continues to evolve. Leveraging this role for success requires an understanding of the
knowledge base that supports the traditional functions of the PA, as well as the opportunities that lie
ahead in today’s rapidly changing health care environment. This course is designed to equip new PAs
with the knowledge required to perform effectively, and for case management directors or chief medical
officers looking to improve their Physician Advisor function.

LEARNING OBJECTIVES
1. Describe the role, responsibilities and success characteristics for physician advisors
2. Identify the CMS utilization management conditions of participation and the PA role in the UM process
3. Describe the CMS 2 Midnight Rule and its implications for PA work
4. Assess the nuances of commercial payer UM and how to perform successful peer-to-peer and written appeals
5. Discuss one daily work flow model for PAs, supporting improved hospital throughput, revenue integrity and clinical efficiency
6. Model PA/case manager, PA/physician and physician/administration communications

*This session takes place on Monday morning from 8:00 am - 12:30 pm and requires an additional registration.

PRICING:
Pre-Conference: Foundations for Physician Advisors
Early Registration     $300
Registration              $350

Pre-Conference: Foundations for Physician Advisors (pricing with conference registration)
Early Registration    $250
Registration             $300


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