{{ (moduleVm.actions && moduleVm.changeStatus) ? moduleVm.status : '' }} An Innovative Case Management Gatekeeper Model for Medicare Surgeries

Activity Steps

1 Activity
2 Take Test 3Certificate

Purpose of Activity

To provide information about a program developed to ensure compliance with the Centers for Medicare & Medicaid Services (CMS) requirements for Medicare surgeries.

Learning Objectives

After completing this continuing education activity you will be able to:

  1. Describe reimbursement issues and their consequences due to incorrect surgical patient status determination.
  2. Explain the role and responsibilities of the postanesthesia care unit (PACU) registered nurse case manager (RN CM) and how this position can positively affect the financial status of the hospital.

Disclosures

The author and CE planners have disclosed that they have no financial relationships related to this article.

Price: $21.95

Credits:

  • ANCC 2.1 CH
  • DC - BON 2.1 CH
  • KY-BON 2.0 CH

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
--------------------------------------------------
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223. Your certificate is valid in all states.
--------------------------------------------------
The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.





Planner
Test Code: PCM0513A
Published: May/June 2013
Expires: 12/31/2026
Sources: Professional Case Management
Required Passing Score: 12/17 (70%)
Authors: Mary Elizabeth VanGelder BSN, RN, MRE, Elaine Coulter BSN, RN, MHA, CNE
Categories: Acute Care , Anesthesia , Case Management , Geriatrics , Health Policy and Reform , Hospital , Surgery
Specialties: Perioperative, Surgery
Topics: Ambulatory Surgery , Case Management Roles , Postoperative Care