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Utilization Management Peer Reviewer Training 3
Online
Credits awarded per Session. See individual Sessions for further details.
Credits awarded
Name
Sub type
Value
Certificate awarded

About this item

Physicians' Review Network (PRN) has partnered with ABQAURP to provide physicians with an online certificate course in Utilization Management Peer Reviewer Training. The course will present the principles and procedures of Utilization Review and Utilization Management standards as required by URAC's Health Utilization Management Accreditation and American Accreditation Health Care Commission under the Health Utilization Management Standards.

This online certificate course will provide a detailed explanation of how health care professionals can keep medical decisions in the hands of qualified practitioners as peer reviewers.

At the conclusion of this activity, attendees should be able to:
  • Evaluate utilization review cases using the appropriate review process Interpret utilization review terminology and concepts
  • 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
  • Recognize applicable standards, as applied to utilization review activities
  • Apply utilization review process to improve personal clinical practice
  • Recognize the difference between internal and external reviews
  • Describe the external review process

Faculty includes:
Linda G. Sheff, MBA, CHCQM

About the Authors
Members of the CME Committee, Planners, and Faculty have disclosed to ABQAURP any relevant financial relationships. No relevant financial relationships or conflicts of interest exist in regard to the content of this online activity.

ACCREDITATION & CREDIT
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) and Physicians' Review Network (PRN). ABQAURP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

ABQAURP designates this enduring material for a maximum of 5.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABQAURP is approved by the Florida Board of Nursing to provide continuing education for nurses. This activity is designated for 5.0 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 is valid from March 16, 2019 through March 15, 2022. Original release date: September 1, 2014.

Pricing:
Diplomate Members $170.00
Professional Members $190.00
Non Members $230.00

Course/Activity Information

New 2019 Utilization Management Peer Reviewer Training course. This course contains updated material, you may retake this course, claim continuing education credits, and receive an updated certificate, if you have taken in the past.

This course is intended for Physicians of all specialties, 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 March 16, 2019 through March 15, 2022.

About The Authors
Members of the CME Committee, Planners, and Faculty have disclosed to ABQAURP any relevant financial relationships. No relevant financial relationships or conflicts of interest exist in regard to the content of this online activity.

Editorial Staff: The faculty and program planners are employees of Physicians' Review Network and have no conflicts of interest in regard to the content of this activity.

Linda G. Sheff, MBA, CHCQM
Linda G. Sheff, MBA, CHCQM is the President and Chief Executive Officer of Physicians' Review Network. She has held this position since 2010. Mrs. Sheff received a Bachelor of Sciences as a Medical Technologist in 1974 and a Masters of Business Administration degree from the State University of New York at Buffalo in 1981. She holds certification from 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 prior to concentrating on the utilization review industry in 1989.

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