Concurrent Review Basics (Medi-Cal)

This course reviews the basics of concurrent reviews, the importance of these reviews, and how to maximize effectiveness throughout the process.

  • Define concurrent review and identify when it should occur
  • Discuss the roles and responsibilities of clinical documentation specialists
  • Identify key aspects of Medical Severity Diagnosis Related Groups (MS-DRG) and Case-Mix Index (CMI)
  • Choose key practices for analyzing and maximizing concurrent reviews
  • Explain how concurrent reviews can prevent denials

Additional Information

Advance Preparation: None

Prerequisites: None

Program level: Basic

Delivery Method: Self-study

CPE Field of Study: Specialized Knowledge



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