MD Perspective: Reducing the burden of costly secondary reviews

Thursday, October 13th, 2022 | 11:00 AM - 12:00 PM CT

The secondary review and peer-to-peer process is time-consuming, costly and some may even say overutilized. As hospitals seek to ease the burden of secondary reviews, they need to optimize the efficiency of their Physician Advisors and ensure that they have all the information needed to operate proactively and prioritize cases that yield the most value.

Join Dr. Linda Everett, who has over 10 years of payer and provider utilization management experience, as she discusses best practices to help ensure that cases escalated for secondary review are managed effectively.

Key learning points:
 
  • How to identify process improvements within your organization to increase the efficiency of the physician advisor workflow
  • Understand when it may make fiscal sense to self-deny; the impact of strong, upfront documentation; and how automation can generate time savings throughout the secondary review and peer-to-peer processes.
  • Reduce the quantity and improve the quality of peer-to-peer discussions

 

Presenter:

Everett Headshot 2 - Jacob Rodriguez-1

Linda G. Everett, MD, MHA

Medical Director, Decision SupportChange Healthcare