Media Summary: Dr. Eric Bricker Explains How the Same Milliman Scott Clifford, the Director of Clinical Programs at Healthfirst, a New York-based health plan and managed Jonnene Williams, the Utilization Management Nurse Manager with Trusted Health Plan, talks about how her organization ...

Mcg Care Guidelines Sets Rules For Prior Authorization - Detailed Analysis & Overview

Dr. Eric Bricker Explains How the Same Milliman Scott Clifford, the Director of Clinical Programs at Healthfirst, a New York-based health plan and managed Jonnene Williams, the Utilization Management Nurse Manager with Trusted Health Plan, talks about how her organization ... This 1-hour webinar addresses critical challenges healthcare organizations face when automating the “medical necessity review” ... Sejal Patel, MD, the System Medical Director for Novant Health, discusses the value of Robert Stern, MD, Medical Director of Utilization Management at Wheaton Franciscan Healthcare, discusses why clinicians can ...

Maresa Campbell, MSW, LISW-S, CCM, ACM, the Director of Utilization Review at OhioHealth System discusses the benefits of ... Maggie Kelley, MSN, APRN-CNP, COHN-S, the VP of Medical Management with a regional non-profit health plan, discusses how ... Kristy Ahearn, RN, the Lead Clinical Team Nurse with BLS Revecore, talks about using Laura Lowe, the Executive Director of Hospital Case Management for a regional, nonprofit health system of 12 hospitals, talks ... Lisa Berta, RN, a Denials Prevention Nurse with BLS Revecore, discusses the benefits of using Chris Cloteaux, MD, MBA, the Senior Medical Director for Utilization Management at Cigna-HealthSpring, discusses how both ...

Dr. Margaret-Mary Wilson, Chief Medical Officer & Sr. VP of UnitedHealthcare Global, discusses using John G. McLachlan, RN, BSN, MBA, CCM, Director of Clinical Operations & Review at FIRM Revenue Cycle Management ... Janet Appel, RN, MSN, CCM, the Director of Population Health at Sharp Rees-Stealy in San Diego, discusses the value of using ... Monica Knox, MBA, BSN, RN, the Clinical Informatics and Education Nurse with FirstCare Health Plans, and Maggie Kelley, VP of ... Mark Lowe, BSN, RN, the Senior Director of Denials & Utilization Review at Ballad Health, discusses the value of leveraging

Photo Gallery

MCG Care Guidelines Sets Rules for Prior Authorization
Preparing for the CMS Final Rule on Improving Prior Authorization & Advancing Interoperability
MCG Ambulatory Care Guidelines
Automating Medical Necessity for Prior Authorization, Sponsored by MCG Health
MCG Care Guidelines and Social Determinants of Health
MCG Home Care Guidelines
MCG Health: Relating to the MCG Care Guidelines
Benefits of MCG Behavioral Health Care Guidelines
MCG Care Guidelines: A Common Language Between Payers and Providers
MCG and Medical Necessity
MCG Multiple Condition Management Guidelines
MCG Care Guidelines: An Evidence-Based Language Between Payer and Provider
Sponsored
Sponsored
View Detailed Profile
Sponsored
Sponsored