

Joan Senatore
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Joan Senatore posted an update 2 years ago
Massachusetts has a question relative to how other states conduct their utilization management medical records reviews; such as, do you conduct them yourselves, do you use a vendor, i.e, peer review organization, do they use a statistical sample, on-site vs desk review? Basically, we are interested in hearing about your process and how we…
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Wisconsin would also be interested in receiving this information.
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Joan Senatore replied to the discussion CMS Eligibility Contact in the forum State Only Forum 2 years ago
I agree. There are so many unanswered questions. The States need direction and guidance as well as interpretation of FAQ#31.