UM003-OCMM PA Med Dir Determination Documentation NHO_4.28_11AMCST

April 28, 2021

NEW HIRE ORIENTATION

This course provides guidance and the tools necessary to adhere to Medicare's requirements while documenting a Prior Authorization review.

Target Audience

 

Optum Care Management 

Utilization Management

Medicare

Prior Authorization

Medical Directors

Learning Objectives

 

Recognize the appropriate way to display your name in the case documentation.

Identify the Clinical Information that needs to be documented in the Case Summary and Comments section.

Locate the applicable Prior Authorization Determination Templates.

Access grade level scoring resources.

 

MATERIAL INFORMATION

Prior Authorization MD Determination Documentation (SOP)

Applying Medicare Plan and Review Criteria (SOP)

Prior Auth Peer-to-Peer Process (SOP)

Prior Auth Determination Templates -Medicare (JA)

Medicare Plan and Review Criteria Documentation (JA)

Letter Language Documentation Rules and Resources (JA)

PA Med Dir Determination Documentation (TM)

Course summary
Available credit: 
  • 0.00 Attendance
Course opens: 
10/28/2020
Course expires: 
10/28/2021
Event starts: 
04/28/2021 - 11:00am CDT
Event ends: 
04/28/2021 - 2:00pm CDT
Cost:
$0.00
Webex
United States

Available Credit

  • 0.00 Attendance

Price

Cost:
$0.00
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