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Varied Hot Topics for Hospital Compliance & Revenue Integrity issues,
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Register Here for Notices of FREE Finally Friday! LIVE Shows THIS WEEK ON FINALLY FRIDAY! LIVE SORT, FILTER & VIEW OUR LIBRARY OF 200+ RECORDED SHOWS HERE Watch 5-7 Minute Previews of Some of Our Past Shows Here See Info and Bios for Our Speakers & Panelists Here Get Recordings & Slide Decks

NEXT WEEK ON FINALLY FRIDAY! LIVE

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LIVE ON FRIDAY MARCH 6 @1PM ET

Aligning Documentation
& Utilization Management
for Today’s Challenges

Struggling with
Denials and new PriorAuth rules?

Join us to learn how
Real-Time EMR Integration,
Secure MA-MD access, and
Monthly Collaboration
can transform your UM process.  

Who Should Attend:
• Utilization Management
• Utilization Review
• Physician Advisors
• Healthcare Information Mgmt.
• Anyone else involved in 
healthcare operations roles
including Payer relations

In this session, we’ll explain why insurance denials should be viewed as “system signals” highlighting misalignment, and cover the latest CMS rules (CMS-0057 and WISeR) pushing real-time data sharing and stricter prior authorization processes.

Attendees will leave with actionable strategies to streamline reviews and strengthen payer collaboration, including real-time EMR data exchange, secure MA-Medical Director access, and structured monthly payer-provider meetings.

In this Finally Friday! session, we’ll cover:

✅ - Real-Time Clinical Data Exchange: Learn how to connect your EHR directly with payer systems using FHIR and Da Vinci standards. 

✅ - Secure EMR Access for MA Medical Directors: Hear why granting read-only EMR access to Medicare Advantage plan medical directors can dramatically speed reviews. 

✅ - Monthly Payer–Provider JOCs: Learn how structured Monthly Joint Operating Committees (JOCs) can turn denial data into improvement. 

✅ - Hospital Insights: Leading hospitals have already begun this shift. Many are deploying AI-enabled workflows to flag WISeR-targeted cases and gather required clinical details before services are scheduled. 

Join us for a candid, strategic discussion
about best practices and action plans...

 

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HERE

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Join us for Hot Topics and Education every show! Discussions of compliance and revenue integrity topics. Join us!

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WE RECOMMEND EPAS LIVE!

Ernie also produces and moderates another LIVE show, MONTHLY on Thursdays at https://physicianonline.org 

THIS show is all Physician Advisors, and is mostly clinical topics, going over top disease specific concerns and questions. Free to watch live! Register Now!

Learn More

CHECK OUT OUR FRIENDS AT CORE-CDI

https://www.core-cdi.com/  

Core CDI offers several resources to help you address your Revenue Cycle and CDI needs. You can find Word documents, PowerPoints, videos, links and more that focus on the "How to" and "Why?" questions that invariably arise.

Learn More

Revised Medicare Appeals Process

Learn the Key Changes No Part of the Regulations, including Limits on Precedential Decisions, Attorney Adjudicators & CMS Contractors.

Free 1-hour webinar. Another exceptional presentation by Jessica Gustafson, a founding Partner at The Health Law Partners.

Learn More

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