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ForwardUM018-OCMM Applying Medicare Plan and Review Criteria NHO_1.19 to 1.28_4 Part series
NEW HIRE ORIENTATION
This course focuses on the Medicare hierarchy plan and review criteria for prior auth and inpatient. including Medicare Inpatient Only list, NCDs, LCDs, LCAs, and locating UHC Medicare review guideline resources.
Target Audience
Optum Care Management
Utilization Management
Medicare
Medical Director
Prior Authorization
Learning Objectives
Utilize the resources appropriately to comply with the Applying Medicare Plan and Review Criteria Standard Operating Procedure (SOP).
Access and navigate UHC Medicare Advantage resources needed to follow the Medicare hierarchy of review.
MATERIAL INFORMATION
Applying Medicare Plan and Review Criteria (SOP)
1/19 Session 1: https://optum.webex.com/optum/k2/j.php?MTID=tac8f82a344d3a466cc3da461097db153
Session number: 178 592 3735
Session password: RMu9NiWH7*8
1/21 Session 2: https://optum.webex.com/optum/k2/j.php?MTID=ta553d5f18fa7438db495b599291976f0
Session number: 178 285 1830
Session password: fRcpD2hw*78
1/26 Session 3: https://optum.webex.com/optum/k2/j.php?MTID=tba7455a11237dd907ce7c8f8c0870d7c
Session number: 178 638 4256
Session password: fRcpD2hw*78
1/28 Session 4: https://optum.webex.com/optum/k2/j.php?MTID=t50a1386948215ea4e2ac584532e5de36
Session number: 178 874 0683
Session password: fRcpD2hw*78
Available Credit
- 0.00 Attendance