UM007-OCMM PA Workflow NHO

NEW HIRE ORIENTATION

This course provides an overview of the Prior Authorization Medical Director process in order to render a determination.

Target Audience

 

Optum Care Management

Utilization Management

Medicare 

Medical Director

Prior Authorization

Learning Objectives

 

Identify the Prior Authorization review process requirements.

Restate the workflow of a Prior Authorization review.

Explain case review time frame prioritization.

 

MATERIAL INFORMATION

Prior Authorization Medical Director Determination Workflow (SOP)

Prior Authorization MD Determination Documentation (SOP)

Prior Auth Peer to Peer Process (SOP)

Medicare Review Timeframes Grid (JA)

PA Workflow (TM)

Course summary
Available credit: 
  • 0.00 Attendance
Course opens: 
10/27/2020
Course expires: 
10/27/2022
Cost:
$0.00

Available Credit

  • 0.00 Attendance

Price

Cost:
$0.00
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