Description
How to Manage Managed Care, ASH, Optum will give you the tools to understand how to maneuver the Medical Necessity Review process. You will learn topics such as the following:
- What is the standard Medical Necessity Review (MNR) prcess?
- How to complete medical necessity review forms
- Pros and cons of in-network vs. out-of-network
- How to compliantly transition active care patients to wellness/cash patients
- How to prove medical necessity beyond 5 visits
- Common short- and long-term ICD-10 codes
- Co-morbidities and complicating factors
Give yourself the know-how to make your documentation bulletproof to medical necessity reviews!
Approved In The Following States
- PACE
- Arkansas
- Colorado
- Connecticut
- Georgia
- Minnesota
- New York
- North Carolina
- South Carolina
- Tennessee
PACE Approved States
- Alaska
- District of Columbia
- Idaho
- Indiana
- Iowa
- Kansas
- Maine
- Maryland
- Massachusetts
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- North Carolina
- North Dakota
- Ohio
- Oregon
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Utah
- Vermont
- Virginia
- Washington
- Wyoming
Life Approved States
- Delaware
- Illinois