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HomeTLC C


 

 

Course Name:

TLC C

Date of CE Release – 7/16/21

Date of CE Expiration – 7/16/24

Location – Online


ENROLL NOW ACCESS TLC C

Non-Members

This Course Contains 6 On-Demand Modules

ACPA members can click on the "Enroll Now" button to purchase. Non-members must first register for a free membership to the ACPA Learning Center by clicking on the "Non-Members" button, then enroll for the course. After enrollment, click here to access the on-demand modules.



ACPA members can click on the "Enroll Now" button to purchase. Non-members must first register for a free membership to the ACPA Learning Center by clicking on the "Non-Members" button, then enroll for the course. After enrollment, click here to access the on-demand modules.




Overview

Building on the core physician advisor education provided in the earlier Learning Center courses (TLC A and TLC B), this six-module course, TLC C, offers a detailed look at topics both new and seasoned physician advisors need to understand to provide effective support to their hospital systems. Modules detailing the use of Observation services since the introduction of the Centers for Medicare and Medicaid (CMS) Two-Midnight Rule, an overview of denials and appeals, National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), and a thorough overview of the role of the utilization management committee build upon core physician advisor skills. A module reviewing the nuances of encephalopathy and acute respiratory failure documentation will strengthen your Clinical Documentation Integrity skill set. Finally, a module on integrating innovation into the physician advisor role offers a look into future technologies which will significantly impact the scope of the position in the near future, completing the collection.

Objectives

Upon completion of the this program, physician advisors will be more knowledgeable in the specific criteria governing the Two-Midnight rule; better understand documentation for the higher-risk audit diagnoses of encephalopathy and acute respiratory failure; have a strong overview of the structure of both the utilization management committee and the concept of NCDs and LCDs; be able to begin managing denials and appeals; and begin to appreciate the role Artificial Intelligence (AI) will play in the physician advisor world in the coming years.



ENROLL NOW ACCESS TLC C

Non-Members

After enrollment, click here to access the on-demand modules.


 

Satisfactory Completion

Learners must listen to each self-directed audio recording while following along with the visual slides/read the articles, and complete an evaluation form to receive a certificate of completion. Your chosen sessions must be attended in their entirety. You must participate in the entire activity as partial credit is not available. If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.


Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and American College of Physician Advisors. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians (ACCME)

Amedco LLC designates this live activity for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Acknowledgement

Financial Commercial Support

No financial commercial support was received for this educational activity.

In-Kind Commercial Support

No in-kind commercial support was received for this educational activity.


Disclosure of Conflict of Interest

The following table of disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content disclosed to Amedco. All of these relationships were treated as a conflict of interest, and have been resolved. (C7 SCS 6.1-6.2, 6.5)


All individuals in a position to control the content of CE are listed in the program book. If their name is not listed below, they disclosed that they had no financial relationships with a commercial interest.


First Name Last Name Commercial Interest Relationship
Clarissa Barnes N/A N/A
Timothy Brundage N/A N/A
Ronald Hirsch N/A N/A
Edward Hu N/A N/A
Steve Meyerson N/A N/A
Neil Parikh N/A N/A

Disclaimer of Liability

The American College of Physician Advisors (ACPA) publishes and distributes materials created by our members and speakers for the benefit of all ACPA members. ACPA does not certify the accuracy or authority of these materials. These materials are distributed and presented as research information to be used by ACPA members, in conjunction with other research deemed necessary, in the exercise of ACPA members’ independent professional judgment. Original and fully-current sources of authority should be researched by ACPA members. ACPA disclaims all liability in relation to reliance on the content of these materials. The views expressed in the materials are the views of the material's authors and do not represent the views of ACPA. Any references are provided for informational purposes only and do not constitute endorsement of any sources.




Course

Pricing Options

AMA PRA Category 1 Credits™

TLC C

TLC C

ACPA Members – $150.00

Non-Members - $250.00

4.0

4.0 AMA PRA Category 1 Credits™

 





Course Speakers

Steven Meyerson, MD, CHCQM-PHYADV

Steven Meyerson, MD, CHCQM-PHYADV

Dr. Steven J. Meyerson is a nationally recognized expert in care management and physician advisor education. He is an internist and geriatrician by training. He has served as medical director of care management at Baptist Hospital in Miami, FL, as well as SVP of education and regulations at R1 (formerly Accretive) Physician Advisory Services. He currently heads SJM Consulting, a Medicare compliance consulting firm. For his distinguished service to physician advisors for many years, he received the inaugural ACPA Lifetime Achievement Award in 2015. He currently lives with his wife in Asheville, NC.

Observation in the Two-Midnight Rule Era

Edward Hu, MD, CHCQM-PHYADV

Edward Hu, MD, CHCQM-PHYADV

SYSTEM EXECUTIVE DIRECTOR, INPATIENT PHYSICIAN ADVISOR SERVICES, UNC HEALTH

PAST PRESIDENT, AMERICAN COLLEGE OF PHYSICIAN ADVISORS

Dr. Edward P. Hu completed his medical education at Washington University School of Medicine in St. Louis, Missouri, and went on to complete his residency in internal medicine at Duke University Medical Center in Durham, NC. Dr. Hu is board certified in internal medicine and health care quality and management, with a subspecialty certification as a physician advisor.He practiced as a hospitalist for 14 years and served as a Medical Director of Case Management at UNC Rex Hospital in Raleigh, NC. Currently, he serves as the UNC Health Care System Executive Director of Physician Advisor Services, supporting the development of PA programs at 10 system hospitals. His areas of interest include Medicare regulations, revenue cycle, compliance, patient safety and quality, and risk adjustment.

Overview of Utilization Management Committee

Clarissa Barnes, MD, FACP

Clarissa Barnes, MD, FACP

PHYSICIAN ADVISOR, AVERA

VICE PRESIDENT MEMBER ENGAGEMENT, AMERICAN COLLEGE OF PHYSICIAN ADVISORS

Clarissa Barnes, MD, is a physician advisor for the Avera Health System and Avera McKennan Hospital and University Health Center. She is the vice president for member engagement for the American College of Physician Advisors. In her clinical role, she is an internist currently practicing as a hospitalist. Barnes comes to the role with an interest in creating new ways to educate physicians and CDI/UR staff, as well as an enthusiasm for bringing people together to learn from each other and create system initiatives.

Denials and Appeals

Ron Hirsch, MD, FACP, CHCQM-PHYADV, FABQAURP, CHRI

Ron Hirsch, MD, FACP, CHCQM-PHYADV, FABQAURP, CHRI

VICE PRESIDENT REGULATIONS AND EDUCATION GROUP, R1 RCM, INC.

MEMBER, ADVISORY BOARD AND EDITOR, ACPA UPDATE, AMERICAN COLLEGE OF PHYSICIAN ADVISORS

Dr. Hirsch is vice president at R1 RCM Inc. He certified in Health Care Quality and Management by the American Board of Quality Assurance and Utilization Review Physicians, certified in Revenue Integrity by the National Association of Healthcare Revenue Integrity, and on the Advisory Board of the American College of Physician Advisors. He is on the editorial board of RACmonitor.com. He is the co-author of The Hospital Guide to Contemporary Utilization Review, with the third edition due at the end of 2021.

NCDs and LCDs

Timothy Brundage, MD, CCDS

Timothy Brundage, MD, CCDS

CEO & MEDICAL DIRECTOR, BRUNDAGE GROUP

CO-CHAIR, CLINICAL DOCUMENTATION INTEGRITY COMMITTEE, AMERICAN COLLEGE OF PHYSICIAN ADVISORS

Dr. Timothy Brundage is chief executive officer and medical director of Brundage Group. He is a past board member of the Association of Clinical Documentation Improvement Specialists (ACDIS) and is co-chair of the CDI committee for the American College of Physician Advisors (ACPA). Dr. Brundage travels educating physicians, with a focus on breaking down departmental silos in hospital organizations by unifying clinical documentation across quality, utilization, denials and CDI. He is passionate about increasing the value of the physician advisor role within hospital organizations. Dr. Brundage is a frequent presenter at the ACDIS conferences and its state chapter meetings. He is a speaker for AHIMA at its annual meeting and its CDI Summit, as well as ACMA state chapter meetings and the national ACMA Leadership and Physician Advisor Conference. Dr. Brundage is a presenter at the RAC Summit National Physician Advisor and Utilization Review Boot Camp.

Encephalopathy/Acute Respiratory Failure CDI

Neil Parikh, MD, MPH, MS, CPE, CCDS, CHCQM-PHYADV

Neil Parikh, MD, MPH, MS, CPE, CCDS, CHCQM-PHYADV

CMIO, Dignity Health’s Greater Sacramento

Dr Neil Parikh, CMIO of Dignity Health’s Greater Sacramento market within our Northern California Division, provides leadership across six hospitals. He is responsible for the advancement of clinical excellence by improving efficiencies of scale across the care continuum. Specifically his role is focused on transformation and innovation, and using information technology to drive high-value within the organization. In his current role, Dr. Parikh also provides clinical and operational leadership to our Physician Advisors / Medical Directors of Utilization Management. This has led to effective change management across multiple value-streams under his leadership. While these initiatives often result in significant operational savings, Dr. Parikh places greater emphasis on achieving improvements incorporating the quality of care. Keeping the patient’s well-being in the forefront remains a privilege and priority for Dr Parikh across any initiative he helps to lead.

Integrating Innovation Into the Role of the Physician Advisor


 

For questions & more information, please contact us at cgorniak@wmrhq.com.

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