EPAS: Behavioral Health Care & Medical Necessity

Do you know the Medical Necessity Guidelines for Behavioral Health? Do you know the 13 Requirements for Psychiatric Acute Inpatient Criteria? Do you know the 10 Continuing Requirements for Continued Authorization Requests?   Behavioral Health Care & Medical Necessity Terms, Requisites, and Templates for Usein Psychiatric Acute Inpatient Criteria  Case Discussions on Relevant Processes & Disease…

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EPAS: Condition Code 44 Revisited

physician online | epas | physician advisor education

Do you know the key requirements to use Code 44?Do you know how to proactively identify the need to use Code 44?Do you know how a Physician Advisor can offer key support for its use? SEE A NEW DECISION SUPPORT TREE FOR CONDITION CODE 44 Condition Code 44 Revisited: Case Studies & A Decision Tree…

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EPAS: COVID Effects on Denials, Physician Advisors and KPIs

physician online | epas | physician advisor education

Do you know which KPIs are being affected?Do you know how much the KPIs are being affected and WHY?Do you know how to validate the increasing value of a Physician Advisor? SEE A SPECIAL DEMONSTRATION OF A NEW COVID-19 PREDICTION TOOL Using a COVID-19 plug-in model, examines the best fit parameters to predict the future…

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EPAS: Lessons Learned from Ridiculous Denials for COVID-19

physician online | epas | physician advisor education

Do you know how to find all the links to the updated waivers? Do you know your State’s regulations on UR Teams, licensing, etc.? Do you know what to do if the Payer says they didn’t get what you sent?   Lessons Learned from Ridiculous Denials for COVID-19  Discussion of  What’s Happening & How to…

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