PPT-Medical Necessity and System Transformation in Idaho

Jeffrey Berlant MD PhD Medical Director and Chief Medical Officer Optum Idaho Dennis J Woody PhD Clinical Director Optum Idaho Presented by Changes in Behavioral Health under Medicaid. Improvement Collaboration. David Simnitt, Project Manager. Angela L. Beauchaine, Medical Director. February 17, 2011. ____________________________. 2. CHIC. PROJECT BACKGROUND. Children’s Health Insurance Program Reauthorization Act (CHIPRA). Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, . C-CDI. Manager. Accretive Health. Medical Necessity. Medical Necessity . Fundamental to Medicine. Integral to Revenue Cycle. Basis for healthcare delivery transformation. Steven Lade. Stockholm Resilience Centre. Montpellier, 8 October 2013. Social-ecological systems. Human behaviour. Natural. resources. Adaptation and Transformation. Adaptation: small changes in an SES that reflect the ability of actors “to learn, combine experience and knowledge, and adjust [their] responses” (. Jason Hess, LCAC. Executive Director. Heartland RADAC. How do I get those darned insurance companies to listen?!?. Alternative Title. 4 Essential Elements . to Good Counseling. WEG +. W. armth – Caring, Supportive, Welcoming. An Overview of Key . C. omponents. Presented by . BHM Healthcare Solutions. Learning Objectives. Upon completion of this presentation participants will have a thorough knowledge of Medical Necessity Criteria including emerging definitions. Jason Hess, LCAC. Executive Director. Heartland RADAC. How do I get those darned insurance companies to listen?!?. Alternative Title. 4 Essential Elements . to Good Counseling. WEG . W. armth – Caring, Supportive, Welcoming. Reform. Nadia Siddiqui, MPH. Director of Health Equity Programs. Texas Health Institute. THI Team: Dennis Andrulis, PhD, MPH, Lauren Jahnke, . MPAff. , . Anna Stelter, MPH, MSSW, and Matthew Turner, PhD, MPH. deju vu all over again in education By Wayne Hoffman I missed a major opportunity several months ago, prior to Gov. Butch Otter’s announcement that he would put together a task force to examine and Division of Motor VehiclesWebsite http//itdidahogov88--1144FFAACCTTSSHHEEEETTIdahos Motor Vehicle Self-Insurance ProgramPURPOSEInsuranceagainst loss resulting from liabilityis required on all motor ve page 1 of 8Determination for Bariatric Surgery31ese Guidelines for Medical Necessity Determination 147Guidelines148 identify the clinical information that MassHealth needs to determine medical necessi Reduction Mammoplasty Page 1 / 7 Reduction Mammoplasty Date of Origin: 02/1999 Last Review Date: 09/2 2 /202 1 Effective Date: 10/01/ 202 1 Dates Reviewed: 05/1999, 10/2000, 09/2001, 03/2002, 05/20 C hiropractor F e b r u a r y 7 , 202 2 Page i Table of Contents Chiropractor ................................ ................................ . 1 1. Provider Qualifications ........................ Compliance . Bootcamp. (5/15). This presentation is similar to any other legal education materials designed to provide general information on pertinent legal topics. The statements made as part of the presentation are provided for educational purposes only. They do not constitute legal advice nor do they necessarily reflect the views of Holland & Hart LLP or any of its attorneys other than the speaker. This presentation is not intended to create an attorney-client relationship between you and Holland & Hart LLP. If you have specific questions as to the application of law to your activities, you should seek the advice of your legal counsel.. February 28. th. , 2015. Possible Next Steps. Develop collective study group options for USMLE; spread cost of study tools . Explore more about dentist model of taking US License Exam and then returning to medical school for 1-2 years to get the clinical experience – requires support from medical school .