2024 Live Zoom Webinars
We are pleased to announce the next in our series of Live Zoom Webinars…
Deep Dive into Utilization Review: Sink or Swim
Wednesday, October 2nd, 2024
12-1pm ET
Moderated by:
Michael Kelley, AIC, ARM
Webinar Overview:
The purpose of this webinar, Deep Dive into Utilization Review: Sink or Swim, is to educate attendees on the Utilization Review program in Massachusetts. Attendees will learn about the objectives of that program and how to better manage the process to leverage its benefits and ensure high quality and efficient medical treatment to individuals injured on the job.
CEU Information:
Please check back here for more details soon!
Learning Objectives:
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- Attendees will examine how the UR system works and in particular, the many pitfalls which can delay treatment.
- Attendees will evaluate whether UR is a mandate or a guideline.
- Attendees will discover how a claim handler can bypass the UR process in an emergency.
Speakers:
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- Michael Kelley, AIC, ARM: Michael Kelley currently serves as Senior Vice President and Director of Claims Operations at HUB International New England, a leading insurance brokerage firm, in a position held since May 2014. He has over 42 years of insurance industry experience. He has an all-lines background but is considered an expert in the area of workers compensation claims handling.
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- Diane Neelon, RN, BSN, JD: Diane Neelon is a nurse/attorney serving as Director of the Office of Health Policy and Executive Director of the Health Care Services Board at the Massachusetts Department of Industrial Accidents since 2007. She certifies utilization review agents and oversees their practices to ensure compliance with MA utilization review regulations. Prior to working at the DIA, Ms. Neelon worked as attorney in private practice, and as a nurse in various hospitals and school settings.
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- Leslie Giroux: Leslie is a TPA Claim Team Leader with over 25 years of workers compensation claims handling experience in the self-insured and insured markets. Licensed in Maine, Vermont, New Hampshire, Rhode Island and Connecticut her senior claims handling experience includes strong claims cost mitigation, litigation management, claim settlement and subrogation recovery.
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- Kendra McKinley, CPC, COSC: Kendra McKinley is President of DBI Medical Billing and Consulting, a medical billing and consulting firm that specializes in surgical medical practices. Kendra has over 29 years of experience in complex reimbursement and coding, and consults and presents nationally on coding, reimbursement, audits, A/R management, contract negotiations, medical practice operations, compliance, and financial reporting.
Webinar Agenda:
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- 12:00-12:05pm: Welcome, Announcements, & Speaker Introductions (Moderator: Michael Kelley, AIC, ARM)
- 12:05-12:15pm: What is UR & How Is It Supposed to Work? (Diane Neelon, RN, BSN, JD)
- 12:15-12:25pm: What Can the Treating MD Do To Expedite the Process? (Leslie Giroux)
- 12:25-12:35pm: What Are the Frustrations of the Treating MD? (Kendra McKinley)
- 12:35-12:45pm: Panel Discussion
- 12:45-1:00pm: Q&A