Washington, DC (PRWEB) March 06, 2013
In the last year, the medical necessity of cardiovascular procedures has become perhaps the single most controversial — and financially significant — utilization review issue for hospitals and health plans alike. Two experts from Medical Audit & Review Solutions (MARS) will offer specialized, up-to-date utilization review knowledge concerning the medical necessity issues surrounding pacemakers, cardiac defibrillators, coronary artery stents, and peripheral angioplasty and stents in an upcoming March 14 webinar from Atlantic Information Serivces, Inc., “Medical Necessity and Cardiovascular Procedures: What Providers and Payers Need to Know to Protect Their Patients and Bottom Lines.”
As the No. 1 target of Medicare recovery auditors and focus of high-profile investigations by the Department of Justice and the HHS Office of Inspector General, the medical necessity of cardiovascular procedures is a hot-button issue that affects the quality of care and the financial bottom line of hospitals and health plans. With billions of dollars of national health care charges at risk each year — and with the health of patients and members at stake — it is critical for organizations to participate in the discussion of the medical necessity of cardiovascular procedures.
Leading the March 14 discussion will be Michael Taylor, M.D., president, CEO and founder of MARS, and Mark Miani, M.D., who serves as MARS’s vice president and chief medical officer. In a 60-minute expert presentation followed by a 30-minute question-and answer session, they will offer strategic guidance on these and related questions:
- What is the best way for an organization to determine the medical necessity for cardiovascular procedures?
- What are the quality, safety, compliance and financial considerations related to performing cardiovascular procedures in the inpatient versus outpatient setting?
- Where are utilization review standards and coverage determinations for pacemakers, cardiac defibrillators, coronary artery stents, and peripheral angioplasty and stents found?
- Why are the utilization standards related to cardiovascular procedures evolving, resulting in the increasingly frequent performance of cardiovascular procedures in the outpatient setting?
- What are the necessary elements for a sound, systematic utilization review approach to ensure determination of the medical necessity of cardiovascular procedures?
- How does the medical necessity of cardiovascular procedures relate to current government and private initiatives to detect health care payment error, waste, fraud and abuse?
Visit http://aishealth.com/marketplace/c3c12_031413 for more details and registration information.
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://www.AISHealth.com.