About This Webinar
As the Medicare population grows and regulatory requirements become more stringent, the Medicare landscape grows increasingly complex. Consistent, transparent, and accurate application of National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs) and related articles and policies is crucial but can be challenging to navigate. And where do reviewers turn when there isn’t a clear-cut policy or determination?
Join this session to discover how to streamline the medical review process for Medicare beneficiaries while ensuring adherence to the latest CMS regulations. We’ll provide an overview of Medicare Content Navigator and InterQual® Transparency, which are designed to help you align with the Medicare Advantage final rule (CMS-4201-F). You’ll also get an exclusive sneak peek of the InterQual team’s product development initiatives that will support compliance with the CMS Interoperability and Prior Authorization final rule (CMS-0057-F), effective January 1, 2026.
Attendees Will Learn About
- The current Medicare landscape, including the requirements of CMS-4201-F and the upcoming changes with CMS-0057-F
- Advanced features and functionality within Medicare Content Navigator and InterQual Transparency that enable efficient, consistent, and in-workflow application of Medicare policies
- Solutions in development to help your organization meet API requirements and support faster turnaround times mandated by CMS-0057-F
