PPT-SERVICE AUTHORIZATION FOR SURGICAL PROCEDURES

SERVICE TYPE 0302 11102020 Page 2 Footer KEPROs mission is to improve lives through healthcare quality and clinical expertise Our Mission We work on behalf of government and private healthcare payers to maximize healthcare quality improve accuracy and increase efficiency . Gregory Ferenbach, Dow Lohnes, PLLC. Overview. The Federal State Authorization Rule(s). Related Provisions and Enforcement Methods. Upcoming Negotiated Rulemaking. The “On-Ground Rule” Controversy. Housekeeping. Food. Restrooms. Cell phones and calls. Questions. introduction. Purpose of today. Processes that will be touched on today but covered in detail at subsequent training. Process for authorizing current SUD service individuals. April 12, 2016 . 1. Prepare for contract conversion to avoid interruptions in care to consumers and payment to providers. To educate providers on the specific process of obtaining administrative authorizations for the new initiatives. These initiatives were developed for the contract conversion from slot to FFS. . Presented . To:. Inpatient Providers. . INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT. INPATIENT SERVICES. INPATIENT ACUTE-MEDICAL--SURGICAL SRV AUTH SERVICE TYPE 0400. INPATIENT REHABILITATION – SRV AUTH TYPE 0200. Proprietary – Do not copy, distribute or disclose without permission of Coventry Health. California Medical Bill Reviewer Certification. Unit 2: Official Medical . Fee Schedule. Module 5: Surgery. Overview. . Process. Waiver Services:. Technology Assisted . Wavier. INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT. Please note that . for . Technology . Assisted . Wavier. , . all requests must be submitted via KEPRO’s . electronic approvals. Patty Stoddard. October 2, 2013. Learning Objectives. Using . Viking Shoppes . for Travel Authorizations. Similar Process. Same Policies. Added Benefits . Same . Form – New Approval Process. Dr. Frederic Porcase Jr., DO. Disclosures & Conflict of . Interest. NO . relevant financial relationships with any commercial interests. . NO. honorarium. . Management Reform . Principles. Patient-centered care has emerged as a major common goal across the health care . Options for Teaser Bull Surgical Procedures Kathy Whitman, DVM, MS Great Plains Veterinary Educational Center Gomer bull selection Purpose: heat detection, synchronization, estrus induction Mature, virgin bulls, free of STDs and other biosecurity risks Service Authorization for EPSDT Hearing Aids (Service type 0092) and related Service Devices Presented by: KePRO INTEGRATED CARE MANAGEMENT AND QUALITY IMPROVEMENT 1 KePRO accepts service authorization (srv auth) requests through direct data entry (DDE), fax and phone. Protected Health InformationPatient NameDOBAddress including City/State/ZipPhone NumberMaiden/Previous Names/Nicknames Information to be ReleasedRelease Method o Mail o Fax o Secure Email o Management Reform PrinciplesPrior Authorization and Utilization Management Reform Principles Patientcentered care has emerged as a major common goal across the healthAmerican Medical AssociationAmeric Authorizations and Financial Policy Authorization Referrals I understand that my insurance may require an authorization before services can be rendered I hereby agree to obtain any referrals and autho Third-Thisformisusedtoauthorizeathirdpartytoreceivebillingnotificationsand/ordiscussoraccessacustomersaccount informationincludingbillingandpaymentsThird-partynotificationsdonotexpireWrittenthird-part