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Course Catalog > Care Excellence for Hospitals

Utilization Review Legal Issues and Hospitals   

This module delivers an overview of common legal issues encountered in hospital utilization management. It explores the key elements of EMTALA, requirements of the CARE Act, the utilization review manager’s responsibility as a mandated reporter, CMS utilization review, the Anti-Kickback Statue, various compliance requirements, and a healthcare provider’s responsibility under the exclusion act.

  • Utilization Review Legal Issues and Hospitals
  • Fee: $112.00
    CE Hours: 4
     

    This module delivers an overview of common legal issues encountered in hospital utilization management. It explores the key elements of EMTALA, requirements of the CARE Act, the utilization review manager’s responsibility as a mandated reporter, CMS utilization review, the Anti-Kickback Statue, various compliance requirements, and a healthcare provider’s responsibility under the exclusion act.


 

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