How to Manage Managed Care
By: ProCredits Seminars LLC

Course 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!

Course Details

  • How to Manage Managed Care
  • By:    ProCredits Seminars LLC
  • Instructor:    Dr. Marty Kotlar
  • Total CE Hours:    2
  • Course Format:     Online Distance Learning
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  • Course Categories:     DC Continuing Education
  • Course Subjects | CE HOURS:
    • Documentation  -2 CE Hours
  •    Course Outline