He is an active member of the American College of Physician Advisors (ACPA) and is chair of the Government Affairs Committee and has recently been appointed to the ACPA Board of Directors. Physician Advisor Sub-specialty Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. Enter search text or select from any available lists and click the "Search" button. Dr. Ravitz is certified with the American Board of Addiction Medicine and has a certification from the American Society of Addiction Medicine. “We are delighted to align with CMSA, the national leader in standards of practice for case managers,” says Edward Hu, MD, CHCQM-PHYADV, President of ACPA. Dr. Ravitz Chairs the UM Committee and resides as a member of the MEC among many local and corporate committees. (aka: Medical Director for Care, Management, Chief Physician Advisor, Medical Director of Utilization Management, Chief Physician Compliance and Medical Appeals Officer, Physician Advisor Coding Documentation and Integrity Specialist, Chief Medical Compliance and Regulatory Officer, etc.). Tracts and reports appeal and denial results where Physician Advisor intervention was required. Dr. Ravitz enjoys riding his mountain bike, Multiple forms of Music, Grilling and Smoking foods. He is an active member of the American College of Physician Advisors (ACPA) and is chair of the Government Affairs Committee and has recently been appointed to the ACPA Board of Directors. The Physician Advisor is a key member of the healthcare organization’s leadership team and is charged with meeting the organization’s goals and objectives for assuring the effective, efficient utilization of health care services. Documents education sessions for medical staff on trends, practice patterns, or relevant information. Dr. Moore is Board Certified in both Emergency Medicine and as a Utilization Management / Physician Advisor. Please upgrade your browser to allow continued use of ACP websites. Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. Provides consultation to nurses and case management staff regarding complex clinical issues and advises on justification required for continued stay, medical necessity and utilization management. LITTLE ROCK, Ark. Toll free: 800-621-4111 (P) 312-202-5000 (F) 312-202-5001 (E) [email protected] Dr. Larry Hegland is the System Medical Director for Recovery Audit and Appeal Services for Ministry Health Care. He has been married to Keyna for over 40 years, having asked her to marry him on their second date and resides in Greenwood, SC. A listing of ACP Membership dues for new and renewing members and Fellowship initiation. ACP supports policies to help internists in your daily work, your professional development, and your patients' health. Discuss the case with the attending physician and if additional clinical information is not available, coordinate the process with the Care Manager for issuance of HINNs, Understand and use MCG/InterQual and other appropriate criteria. Demonstrates positive outcomes through interventions with attending or consulting physicians that delay care and affect the length of stay or avoidable delays, etc. | The American College of Physician Advisors (ACPA) is the only non-profit professional membership organization dedicated to the development and advancement of Physician Advisors. Dr. Charles Locke has been a Physician Advisor, Utilization/Clinical Resource Management for Johns Hopkins Hospital since 2011 and the Senior Physician Advisor since 2013. Ms. Gustafson devotes a substantial portion of her practice to representing providers in the Recovery Audit (“RAC”) and Medicare audit appeals process. They work shoulder to shoulder every day to improve patient outcomes, ensure compliance, and to deliver value to patients, providers, and payors. Maintain current knowledge of federal, state, and payer regulatory and contract requirements. TOEFL Tutoring Online Package Now $50/Hour, 11% off orders over $30 for New Customers. After completing his residency at the University Of South Carolina School Of Medicine Dr. R. Phillip Baker was the founding and managing partner in Piedmont Physicians for Women an OB/GYN practice for 32 years. The display of third-party trademarks and trade names on this site does not necessarily indicate any affiliation or endorsement of Offers.com. Adheres to all professional and performance expectations set forth within the medical staff bylaws, rules & regulations and complies with all (Hospital) established policies and procedures. Meets production standards within established time requirements. You are using an outdated browser. She lives with her husband in Northern Illinois where they valiantly strive to raise three daughters and a son into strong, thoughtful, and self-assured individuals with a corny sense of humor. Reviews issues identified by case managers to ensure appropriate follow-up, recommend improvement initiatives as needed, and make referrals to the appropriate department chair as necessary. The American College of Physicians or ACP is the largest medical-specialty society in the world, and has a diverse community of internal medicine specialists and subspecialists. Dr. Nick Ulmer is a Family Physician whose career began in 1991 and includes 10 years of obstetrics and 17 years of hospital-based medicine. Dear ACPA Members: It is with great excitement that I accepted the presidency this week at a meeting of the Board of Directors prior to ACPA’s annual meeting, NPAC 2019. Sponsor a Fellow Promotes coordination, communication, and collaboration among all team members. Areas of interest include clinical documentation improvement, ICD-10 implementation and concurrent status review. Possess or acquire a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety. Daniel M. Zirkman, MD is a graduate of Duke University in 1979 and the University of Texas Health Science Center at San Antonio, Texas where he received his medical degree in 1986. She practiced clinically as a Pediatric Hospitalist and is a frequent contributor for RACMonitor.com and ICD10Monitor.com. CMSA national president, Mary McLaughlin-Davis, DNP, ACNS-BC, NEA-BC, CCM stated, “Through this collaboration, the case management and physician advisor communities are now stronger. Review medical records of patients identified by case managers or as requested by the healthcare team in order to perform quality and utilization oversight, Perform medical necessity reviews including initial level of care, secondary reviews, and continued stay reviews, Assist with length of stay management and utilization of resources, Assist with the denial management process, Review and make suggestions related to resource and service management, Perform reviews for determining professionally recognized standards of quality care, Provide regular feedback to physicians and all other stake holders regarding level of care, length of stay, and potential quality issues, Recommend and request additional and more complete medical record documentation to support placement status or medical necessity, Review cases that indicate a need for issuance of a hospital notice of non-coverage/Important Message from Medicare (HINN). He received his Master of Health Administration from the University of Maryland in 2014. ACP advocates for steps the government and private sector can take to address the COVID-19 pandemic. After practicing emergency medicine for 25 years, Dr. Remer became the first physician advisor at University Hospitals Health System in Cleveland, OH. It is not designed or to be interpreted as a comprehensive inventory of all duties and responsibilities required of employees assigned to this job. American College of Healthcare Executives (ACHE) is a membership-based professional society for leaders who are dedicated to improving health. Dr, Ravitz is a native of Oak Park Michigan. Develop succinct discussion points for physicians to utilize upon the opportunity to present teaching points that stress the application of medical records documentation beyond claims data into administrative data.Explain the role of administrative data in today's business of medicine - and the future of medicine.