4 Video Lessons
Utilization Management
A preapproved claim usually results in claim payment. Therefore, it is imperative that medical professionals demand a quality utilization review decision each time prior approval is sought. Appeal Solutions has extensive information on initiating appeal during utilization review.
Course Materials:
Related Appeal Letters:
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Course Instructor
Tammy Tipton
President of Appeal Solutions, Tammy Tipton is an author and frequent speaker and expert on resolving denied and disputed medical insurance claims.
Course Objectives
What You'll Learn:
- Utilization Management Appeals
- Review and Use of State Utilization Review mandates including Peer Discussion
- Health Utilization Management Accreditation Standards
- Tracking Preauthorization Response Compliance
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