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)