You’ve come to the right place for exceptional learning opportunities from the most respected leaders in medical rehabilitation. AMRPA webinars offer insight, practical tips, and analysis of trends that impact how you work and how rehab treatment is delivered, all at an attractive price, and without the expense of travel! CME credit may also be available - learn more.
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Tuesday, September 12, 2017
The Struggle is Real: Managing Insurance Pre-authorizations and Denials
12 Noon - 1:00 p.m. ET
Ali Zein, OTR/L, CBIS - Rehabilitation Institute of Michigan
Inpatient rehab programs continue to struggle with getting pre-authorization certifications from insurance companies. While rules and practices employed by the insurance companies change routinely, there are processes that you can employ to know that you are arguing the best case for a patient to come into the organization.
Plan to attend this webinar to help you identify new ways to strengthen the pre-authorization process and the use of protocols/procedures to ensure approval as well as argue denials during peer to peer reviews. This webinar will also guide you in setting up policies and procedures for your admissions team to follow to prevent denials and delays from happening.
At the conclusion of this activity, participants will be able to:
- Explain the operational processes implemented that improved the pre-cert outcome
- Discuss training implemented that improved the liaisons abilities to get authorizations for IPR
- Prepare peer to peer arguments on appeals
AMRPA webinars include a live presentation over the telephone or VoIP (audio over the computer), with accompanying handouts online. They provide the educational value of a conference session, without the hassle and expense of travel. A live webinar also provides the opportunity to interact with the presenter during the question and answer period.
Your registration fee for a live webinar includes one audio connection*, one PDF of the slide presentation (when provided by presenter), and one evaluation for continuing education credits.
| Live Webinar
| Live Webinar + Recording
You may purchase a recording-only version of each webinar once the recording is available thirty (30) days after the live event. Recordings are only eligible for Continuing Education Credit through ACCME and ANCCC. Available Recordings can be found here.
The Struggle Is Real: Managing Insurance Pre-Authorizations and Denials Before They Happen
AMRPA Live Webinar
September 12, 2017
Acknowledgement of Commercial Support
No commercial support was received for this educational activity.
Participants must complete an evaluation to receive a certificate of completion. Your chosen sessions must be attended in their entirety. Partial credit of individual sessions is not available. If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your board requirement.
Accreditation Statement - This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Amedco and the American Medical Rehabilitation Providers Association (AMRA). Amedco is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation Statement - Amedco designates this live activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Amedco is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This course is co-provided by Amedco and AMRPA. Maximum of 1.0 contact hour.
Objectives - After attending this program you should be able to:
- Explain the operational processes implemented that improved the pre-cert outcome.
- Discuss training implemented that improved the liaisons abilities to get authorizations for IPR.
- Prepare peer to peer arguments on appeals.
Disclosure of Conflict of Interest
The following table of disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content disclosed to Amedco. All of these relationships were treated as a conflict of interest, and have been resolved. (C7 SCS 6.1-‐6.2, 6.5)
All individuals in a position to control the content of CE are listed below.
Last Name First Name Disclosure
Langenstrass Patricia Nothing to disclose
Morgan Sheryl Nothing to disclose
Zein Ali Nothing to disclose
Instructor Financial and Nonfinancial Disclosure Statements can be found at the Registration links.
Cancellations will be accepted up to two business days prior to a webinar. Registrants who cancel within that time will receive a refund, minus a $10 service fee. Cancellations received after that time will not be refunded.
CME Live Activity Overview
To be eligible for documentation of CME credit, physicians must attend the entire live webinar and complete an evaluation form. All physician attendees will be contacted after the live webinar with CME evaluation information.
Physicians: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of AMEDCO and the American Medical Rehabilitation Providers Association (AMRPA). AMEDCO is accredited by the ACCME to provide continuing medical education for physicians. AMEDCO designates this live activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses: Amedco is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This course is co-provided by Amedco and the AMRPA. Maximum of 1.0 contact hour. Provider ID: P0477.
Health Care Executives: AMRPA is authorized to award 1.0 hour of pre-approved Category II (non-ACHE) continuing education credit for this program toward advancement or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward Category II credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.
The American Occupational Therapy Association, Inc.: This webinar has been approved for .1 AOTA CEU. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AMRPA is approved AOTA Provider #6595.
ASHA CE Statement
Effective 06/05/17, AMRPA will no longer be an ASHA CEU Provider. Members will no longer be able to submit their CEU’s to ASHA for their approval of our programs, but will still earn Continuing Education credits for all AMRPA Educational activities. You will claim your CEU’s and receive a Certificate through AMRPA as you always have. AMRPA’s Educational activities are accepted by most state licensing boards.Please check your state’s licensing rules.
If you require special assistance to register for an event or access online content, please contact Holly Lundgren (firstname.lastname@example.org or 1-847-686-2347) at AMRPA Education Headquarters to inform us of your special needs.
AMRPA will comply with all legal and ethical responsibilities to be non-discriminatory in promotional activities, program content and in the treatment of program participants. The monitoring and assessment of compliance with these standards will be responsibility of the Education Director in consultation with the Education Chair and clinical director from committee.
We do our best to anticipate problems and, when they do present themselves, will attempt to alleviate complaints as quickly as possible. When a complaint, either verbally or written, is received, the following guidelines are followed with respect to achieving resolution:
(1) Complaints relative to a speaker or workshop leader, contents of instructional materials being presented, or an individual educational style being utilized, the individual voicing disapproval is requested to place his/her comments in writing. An AMRPA representative will convey these comments to the speaker, assuring the confidentiality of the grieved individual.
(2) If the complaint concerns a continuing education activity, its content, level of presentation, or facilities in which the event is being held, the representative in charge will attempt to resolve the matter as expeditiously as possible. If the offered resolution (resolutions offered may include, but not be limited to partial/full refund of registration fees paid; credit toward future event) not satisfactory to the individual filing the complaint, then further action may be taken as follows.
(3) The individual is requested to place his/her complaint in writing to the attention of the Education Director, American Medical Rehabilitation Providers Association, One Parkview Plaza, Suite 800, Oakbrook Terrace, IL 60181 USA. The complaint is then reviewed by the Education Director in consultation with the Clinical Director and Education Advisor. A written response will be issued within 30 days of receipt of the written complaint.