Catalog
Online
Added:
The PDF-based course presents the principles and components of Utilization Review and Utilization Management standards. Learners will explore how collaborating with the health care team will accomplish the goals of utilization management and maximize the health and well-being of the patients they serve. Learn the review process to meet national standards including those as required for URAC's Health Utilization Management Accreditation.
This online course provides a detailed explanation of how health care professionals can preserve quality medical care and keep medical decisions in the hands of qualified practitioners as peer reviewers.
At the conclusion of this activity, members of the interprofessional team should be able to better:
Evaluate utilization review cases using the appropriate review process
Compare and contrast differences between the various types and levels of utilization review
Write clear and concise utilization review determination reports
Integrate clinical and medical reference material to create an appropriate determination rationale
Work collaboratively with the health care team to ensure health services are provided within the standards of current, evidence-based, medically relevant criteria
Apply utilization review processes to improve personal clinical practice
Faculty includes:
Linda G. Sheff, MBA, CHCQM
About the Authors
Members of the Education Committee, Planners, and Faculty have no relevant financial relationships with ineligible companies to disclose.
ACCREDITATION & CREDIT
In support of improving patient care, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) 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
ABQAURP designates this enduring material for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses
This activity is designated for 4.5 nursing contact hours.
The American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) is an approved provider with the Florida Board of Nursing to provide continuing education for nurses. ABQAURP designates this activity for 4.5 contact hours through the Florida Board of Nursing. Provider # 50-94.
This program is approved for Category 2 credit by the American Osteopathic Association.
This activity was planned by and for the healthcare team, and learners will receive 4.5 Interprofessional Continuing Education (IPCE) credits for learning and change.
This activity is valid from April 15, 2025, through April 14, 2028. (Previously valid: March 16, 2022 through March 15, 2025 and reviewed March 2025.)
Pricing:
Diplomate $170.00
Professional Member $190.00
Non-Member $230.00
This online course provides a detailed explanation of how health care professionals can preserve quality medical care and keep medical decisions in the hands of qualified practitioners as peer reviewers.
At the conclusion of this activity, members of the interprofessional team should be able to better:
Evaluate utilization review cases using the appropriate review process
Compare and contrast differences between the various types and levels of utilization review
Write clear and concise utilization review determination reports
Integrate clinical and medical reference material to create an appropriate determination rationale
Work collaboratively with the health care team to ensure health services are provided within the standards of current, evidence-based, medically relevant criteria
Apply utilization review processes to improve personal clinical practice
Faculty includes:
Linda G. Sheff, MBA, CHCQM
About the Authors
Members of the Education Committee, Planners, and Faculty have no relevant financial relationships with ineligible companies to disclose.
ACCREDITATION & CREDIT
In support of improving patient care, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) 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
ABQAURP designates this enduring material for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses
This activity is designated for 4.5 nursing contact hours.
The American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) is an approved provider with the Florida Board of Nursing to provide continuing education for nurses. ABQAURP designates this activity for 4.5 contact hours through the Florida Board of Nursing. Provider # 50-94.
This program is approved for Category 2 credit by the American Osteopathic Association.
This activity was planned by and for the healthcare team, and learners will receive 4.5 Interprofessional Continuing Education (IPCE) credits for learning and change.
This activity is valid from April 15, 2025, through April 14, 2028. (Previously valid: March 16, 2022 through March 15, 2025 and reviewed March 2025.)
Pricing:
Diplomate $170.00
Professional Member $190.00
Non-Member $230.00
Credits awarded per Session. See individual Sessions for further details.
Credits awarded
Name
Sub type
Value
Certificate awarded
Recently Added Items
About this item
The PDF-based course presents the principles and components of Utilization Review and Utilization Management standards. Learners will explore how collaborating with the health care team will accomplish the goals of utilization management and maximize the health and well-being of the patients they serve. Learn the review process to meet national standards including those as required for URAC's Health Utilization Management Accreditation.
This online course provides a detailed explanation of how health care professionals can preserve quality medical care and keep medical decisions in the hands of qualified practitioners as peer reviewers.
At the conclusion of this activity, members of the interprofessional team should be able to better:
Faculty includes:
Linda G. Sheff, MBA, CHCQM
About the Authors
Members of the Education Committee, Planners, and Faculty have no relevant financial relationships with ineligible companies to disclose.
ACCREDITATION & CREDIT
In support of improving patient care, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) 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
ABQAURP designates this enduring material for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses
This activity is designated for 4.5 nursing contact hours.
The American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) is an approved provider with the Florida Board of Nursing to provide continuing education for nurses. ABQAURP designates this activity for 4.5 contact hours through the Florida Board of Nursing. Provider # 50-94.
This program is approved for Category 2 credit by the American Osteopathic Association.
This activity was planned by and for the healthcare team, and learners will receive 4.5 Interprofessional Continuing Education (IPCE) credits for learning and change.
This activity is valid from April 15, 2025, through April 14, 2028. (Previously valid: March 16, 2022 through March 15, 2025 and reviewed March 2025.)
Pricing:
Diplomate $170.00
Professional Member $190.00
Non-Member $230.00
This online course provides a detailed explanation of how health care professionals can preserve quality medical care and keep medical decisions in the hands of qualified practitioners as peer reviewers.
At the conclusion of this activity, members of the interprofessional team should be able to better:
- Evaluate utilization review cases using the appropriate review process
- Compare and contrast differences between the various types and levels of utilization review
- Write clear and concise utilization review determination reports
- Integrate clinical and medical reference material to create an appropriate determination rationale
- Work collaboratively with the health care team to ensure health services are provided within the standards of current, evidence-based, medically relevant criteria
- Apply utilization review processes to improve personal clinical practice
Faculty includes:
Linda G. Sheff, MBA, CHCQM
About the Authors
Members of the Education Committee, Planners, and Faculty have no relevant financial relationships with ineligible companies to disclose.
ACCREDITATION & CREDIT
In support of improving patient care, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) 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
ABQAURP designates this enduring material for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses
This activity is designated for 4.5 nursing contact hours.
The American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) is an approved provider with the Florida Board of Nursing to provide continuing education for nurses. ABQAURP designates this activity for 4.5 contact hours through the Florida Board of Nursing. Provider # 50-94.
This program is approved for Category 2 credit by the American Osteopathic Association.
This activity was planned by and for the healthcare team, and learners will receive 4.5 Interprofessional Continuing Education (IPCE) credits for learning and change.
This activity is valid from April 15, 2025, through April 14, 2028. (Previously valid: March 16, 2022 through March 15, 2025 and reviewed March 2025.)
Pricing:
Diplomate $170.00
Professional Member $190.00
Non-Member $230.00
Course/Activity Information
This course has been reviewed and contains updated material. Learners may retake this course, claim continuing education credits, and receive an updated certificate, if you have taken it in the past.
This course is intended for Physicians of all specialties, Nurses, and Other Health Care Professionals with appropriate CE credit offered for each profession.
All participants must achieve a final assessment score of at least seventy percent (70%) for recertification and continuing education credits. You have 60 days to complete the course after ordering.
This activity is valid from April 15, 2025, through April 14, 2028. (Previously valid: March 16, 2022 through March 15, 2025 and reviewed March 2025.)
About the Author:
Linda G. Sheff, MBA, CHCQM
Linda G. Sheff, MBA, is the author of the Advocacy CMR program and the former President and Chief Executive Officer of Physicians' Review Network, Inc. (PRN). Ms. Sheff received a Bachelor of Sciences and a Master of Business Administration from the State University of New York at Buffalo and is a fellow of the American Board of Quality Assurance and Utilization Review Physicians. Mrs. Sheff has an extensive background in healthcare, medical reviews, and many years of managerial experience in laboratory services, information technology, and hospital administration before concentrating on the utilization review industry in 1989.
Other information
-
Contact:Contact Education
- Training Hours: 4.50
Additional Charges May Apply
Ratings and reviews
Name:
Sub type:
Value: