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Integrated Case Management and ICD10 Coding Short Course - Contact Tuition



Where physicians are involved in case management, they coordinate such elements as referrals to consultants, specialists, hospitals, ancillary providers and services. This is intended to eliminate inappropriate utilisation of facilities and resources, fragmented services and to provide continuity of services and intensity of services appropriate to the patient's needs over time.

Case management involves delivering care across traditional professional boundaries. This means that care teams must work together as doctors and nurses, specialist doctors and primary care doctors, and other combinations of clinical caregivers. Turf battles and power struggles between and within professional groups must be broken down to enable collaboration for the patient's best interest.

Therefore, managed care is the broad coordination of patient care and collaboration with various care providers to ensure the appropriateness of the treatment and the cost thereof. This includes peer reviews and utilisation reviews of drugs and equipment, facilities and other resources such as laboratory tests

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Who Should Enrol

Managers in healthcare and case managers.

Course Design

The course will be offered through a combination of self-study and a 1-day interactive workshop facilitated by leading experts in the fields.

Course Content

The following modules will be covered:

  • Trends that are emerging that will cause more changes in the future
  • Know who the role players are in the industry
  • Core regulatory changes that affected the evolution of medical schemes
  • Emerging trends
  • Reasons for the new focuses emerging from both medical aids and administrators
  • Objectives of Social Health Insurance
  • Goals and objectives of Case Management
  • The process of Case Management
  • Critical success factors that drive Case Management
  • Role and responsibilities of a Case Manager
  • Importance of Case Management within the context of Managed Care and cost containment
  • Authorization of a patient treatment
  • Critical success factors that drive Case Management
  • Care plans and formularies and how they fit into the management of an episode of care
  • Compliance and know what to look for in the measurement of clinical performance
  • Global coding systems are so important
  • Measure Case Management outcomes
  • Data required to effectively Case Man Development, growth and change of health care delivery over the last decade
  • Factors that caused the changes
  • ICD 10 coding


Participants are assessed through means of a multiple-choice questionnaire.


After successful completion of the course, participants will be awarded a certificate of attendance by the Foundation for Professional Development.


R 3 150.00 (incl. VAT) The Course fee excludes all participating travel and accommodation costs.

Limited spaces are available. To avoid disappointment, please book early.

Date Venue
13 - 14 May 2021 Gauteng