Effective January 1, 2024, all Medicare Advantage plans must follow existing coverage policy for Medicare benefits. They must also make coverage criteria publicly available to CMS enrollees and providers.

In this webinar, Christine Long, RN, BSN, shares how you can more easily address these requirements. Through case examples, she explores Medicare Content Navigator. This comprehensive medical review solution improves efficiency and consistency in navigating Medicare coverage policy (NCDs and LCDs). She also introduces InterQual® Transparency. It enables access to clinical content for providers and members. Join us to learn more about how Optum can support your organization with CMS compliance.

Key takeaways
  • CMS final rule requirements impact criteria used and require transparency.
  • Current processes are time-consuming and risk inconsistency.
  • Medicare Content Navigator and InterQual Transparency support you with regulatory compliance as demonstrated across patient scenarios.

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