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| Services De Soins > Etude de marché sectorielle |
| Utilization Management and Capitation Strategies |
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€ 234,00 |
Editeur
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Apollo Managed Care Consultants |
Langue
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Anglais |
Date de publication : |
Octobre 2006 |
Taille du document : |
440 |
Autres informations : |
Description , Table des matières |
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| Autres secteurs en relation |
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| Présentation de l'étude de marché - Description & Table des matières |
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| Utilization Management and Capitation Strategies |
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Utilization Management and Capitation Strategies
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• Capitation Toolbox
• Utilization/Resource Management Toolbox
• Utilization/Resource Management
• Benefit and eligibility
• Case or Care Management (CM)??
• Observation status for acute care - P & P;
• Review Process
• Ambulatory Services Management
• Referral Authorization Strategies
• Emergency Services
• Home Health Care
• Skilled care Services
• Durable Medical Equipment
• Denials, Appeals, Redeterminations, Grievances
•? Discharge Planning
• Annual U/RM Work Plan
• Algorithms
• Integrated Quality Management/Improvement Strategies
• Administrative/’Back Office’ Strategies, Policies and Procedures
• R/UM Staff Job Descriptions and Effectiveness Evaluations
• References and resources – an extensive section, alpha listed by topic
• Appendices
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PPLSEN
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