MCTAC Announces Utilization Management and Billing Rules and Practices Training Series

The Managed Care Technical Assistance Center (MCTAC) has announced a new Utilization Management (UM) and Billing Rules and Practices training series.

A kick-off webinar is being held from 12-1 p.m., Wednesday, March 23, broadly covering:

  • The services to be covered by Managed Care that are subject to utilization management;
  • The purpose of utilization management;
  • How organizations can prepare for UM expectations;
  • A review of general billing guidelines.

Webinar Registration

Register for the March 23 kick-off webinar via MCTAC Event Registration.

In-Person Presentations

The webinar will be supported by in-person presentations for adult behavioral health providers, covering:

  • A review of the UM and billing rules and practices for all adult behavioral health providers;
  • State OMH and OASAS UM guidelines by program type;
  • UM rules and practices by managed care organizations;
  • Billing guidance review;
  • Review of field-by-field requirements for managed care organizations for 837i billing form.

In-person UM and billing presentations will be held in the North Country and Albany.

  • Lake Placid: Tuesday, April 19, (location to be determined), registration pending.
  • Albany: Thursday, March 31, 9 a.m. – 1 p.m., Radisson Hotel. Register for Albany/March 31 via MCTAC Event Registration.

The intended audience for this series is staff responsible for:

  • Utilization management
  • Utilization review
  • Authorization activities
  • Program directors
  • Senior management
  • Agency finance
  • Revenue cycle
  • Billing

Please note: this presentation does NOT include Health Home billing information nor does it include UM information for Home and Community-Based Service (HCBS) providers. There will be a UM training specific to HCBS later in 2016.

For More Information

Please email [email protected] with any questions.