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Webinar: Pre-Service Review Changes

Please register for a webinar to learn about changes Wellmark is making to its utilization management program.

 

Dates and Time

Wednesday, May 30

Noon-1 p.m. (Central Time)

 

Presenters

Timothy Gutshall, M.D., Wellmark vice president and chief medical officer

Cynde Shepherd, Wellmark director, health improvement services

 

Who Should Attend

Professional (Clinic) Audiences

  • Billing staff
  • Patient care staff (those who complete requests for pre-service reviews)
  • Physical medicine practitioners
  • Requesting/ordering practitioners
  • Servicing/rendering practitioners
  • Specialist practitioners

Facility (Hospital) Audiences

  • Ancillary services
  • Anesthesia services
  • Case management/care coordination staff
  • Central billing staff
  • Durable medical equipment providers
  • Medical records staff
  • Patient access services (those who complete requests for pre-service reviews)
  • Physical medicine providers

Topics

  • Overview of the changes Wellmark is making to its utilization management program.
  • Medical policies transitioning to InterQual criteria.
  • Implementation of McKesson’s Clear Coverage, web-based utilization management tool.
  • Start to build awareness regarding new workflows for impacted stakeholders that may be necessary for their organizations to be successful in implementing these changes. 
  • Use of an authorization grid in the future.
  • Timeline and next steps.

Registration

You must register in advance so we can email you details about how to connect to the webinar.


 

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