Catalog
This 1-hour recorded session explores how utilization management challenges, industry regulations, and inefficient workflows contribute to revenue leakage across healthcare organizations. Learners will examine the complexities of holding Medicare Advantage plans accountable to the Medicare Two-Midnight Rule and identify utilization review process gaps that impact financial performance. The session also highlights observation length of stay as a critical utilization review metric and its role in ensuring compliant, efficient, and sustainable care delivery.
This course was recorded live at our 2025 Annual Conference.
Pricing: Diplomate Members $ 31.00 - Professional Members $ 37.00 - Non-Members $ 44.00
Upon completion of this activity, members of the interprofessional team should be able to:
Specify the challenges in holding Medicare Advantage plans accountable for the Medicare Two-Midnight Rule.
Summarize utilization review workflow inefficiencies that contribute to revenue leakage.
Examine the importance of observation length of stay as a key utilization review metric.
Faculty includes:
Timothy Brundage, MD, CCDS – Medical Director, CEO, and Founder – Brundage Group
Faculty Disclosure
Members of the Education Committee, Planners, and Faculty have no relevant financial relationships with ineligible companies to disclose.
This activity is valid from May 1, 2026 through September 12, 2028.
Original release date: September 12, 2025.
This course has been selected by ABQAURP as a "CE Spotlight" course. CE Spotlight courses are complimentary as a Membership benefit with ABQAURP!
Please Sign In to receive the member discount.
Complimentary course for all ABQAURP Members!
Diplomate Members $0
Professional Members $0
Non Members $44
About this item
This 1-hour recorded session explores how utilization management challenges, industry regulations, and inefficient workflows contribute to revenue leakage across healthcare organizations. Learners will examine the complexities of holding Medicare Advantage plans accountable to the Medicare Two-Midnight Rule and identify utilization review process gaps that impact financial performance. The session also highlights observation length of stay as a critical utilization review metric and its role in ensuring compliant, efficient, and sustainable care delivery.
This course was recorded live at our 2025 Annual Conference.
Pricing: Diplomate Members $ 31.00 - Professional Members $ 37.00 - Non-Members $ 44.00
Upon completion of this activity, members of the interprofessional team should be able to:
- Specify the challenges in holding Medicare Advantage plans accountable for the Medicare Two-Midnight Rule.
- Summarize utilization review workflow inefficiencies that contribute to revenue leakage.
- Examine the importance of observation length of stay as a key utilization review metric.
Timothy Brundage, MD, CCDS – Medical Director, CEO, and Founder – Brundage Group
Faculty Disclosure
Members of the Education Committee, Planners, and Faculty have no relevant financial relationships with ineligible companies to disclose.
This activity is valid from May 1, 2026 through September 12, 2028.
Original release date: September 12, 2025.
This course has been selected by ABQAURP as a "CE Spotlight" course. CE Spotlight courses are complimentary as a Membership benefit with ABQAURP!
Please Sign In to receive the member discount.
Complimentary course for all ABQAURP Members!
Diplomate Members $0
Professional Members $0
Non Members $44
Course/Activity Information
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.
This activity was planned by and for the healthcare team, and learners will receive
1 Interprofessional Continuing Education (IPCE) credit for learning and change.
Physicians
ABQAURP designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses
This activity is designated for 1 nursing contact hour.
Osteopathic Physicians
This program is approved for Category 2 credit by the American Osteopathic Association.
Physician Associates
ABQAURP has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1 AAPA Category 1 CME credit. Approval is valid until September 12, 2028. PAs should only claim credit commensurate with the extent of their participation.
This course is intended for Physicians, Nurses, and Other Health Care Professionals with appropriate CME / 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 May 1, 2026 through September 12, 2028. Original Release Date: September 12, 2025.
About the Authors:
Timothy Brundage, MD, CCDS
Dr. Timothy Brundage is Chief Executive Officer and Physician Advisor at Brundage Group and a past board member of the Association of Clinical Documentation Integrity Specialists (ACDIS), as well as a former co-chair of the CDI Committee for the American College of Physician Advisors (ACPA). He educates physicians nationwide, focusing on breaking down departmental silos by aligning clinical documentation across quality, utilization, denials, and CDI. A frequent national speaker for organizations including ACDIS, AHIMA, and ACMA, Dr. Brundage is passionate about advancing the value and impact of the physician advisor role. He was recognized as a Health Care Heroes award winner by the Tampa Bay Business Journal for excellence in healthcare education.