Author Description

Patient Status Training Toolkit for Utilization Review Kimberly A.H. Baker, JD, CPC Toolkit contains 5 handbooks and 5 pocket cards. Make sense of medical necessity, condition codes, and patient notices while reviewing cases. ThePatient Status Training Toolkit for Utilization Review is a quick-reference handbook and pocket card that will serve as an everyday guide to utilization review (UR). The handbook is a practical guide that UR committee members can keep at their desk to refer to as they work through UR processes. It offers an overview of regulatory requirements for UR in addition to access to downloadable case studies and Medicare resources that can help guide committee members through real-world cases. The pocket card is an easy-to-digest reference that uses a flow chart and helpful tips to walk UR committee members through the process of verifying patient status determinations. If the or UR committee member reviews a case and determines the patient's status must be changed, the pocket card will offer guidance on this process through days one and two, if applicable.