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  • Pre-Assessment
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2018 Virtual Symposium: Mastering the Prior Authorization Process to Meet Patient Needs

2018 Virtual Symposium: Mastering the Prior Authorization Process to Meet Patient Needs

Format

Webcast

Time to Complete

1 hour

Released

December 21, 2018

Expires

December 21, 2019
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Maximum Credits

1.00 / AMA PRA Category 1 CreditsTM
1.00 / CNE Contact Hours (0.50 pharmacotherapy hour)
1.00 / CE for Pharmacists (0.10 CEUs)
1.00 / CPEU for Registered Dietitians

Accredited Provider

This activity is jointly provided by Global Education Group and Tarsus Cardio Inc. dba Cardiometabolic Health Congress.

Commercial Supporter

This activity is supported by an educational grant from Sanofi US and Regeneron Pharmaceuticals and in partnership with The Doctor-Patient Rights Project.

Program Description

The prior authorization (PA) process is often resource-intensive for medical practices. A 2016 American Medical Association (AMA) survey of physicians who regularly complete PAs found that, in combination with their staff members, the providers spent an average of 16.4 hours per week processing PAs. While estimates of the per-physician financial burden of PA and interaction with insurance companies have varied widely, all have found that those costs amount to thousands of dollars per year. The goal of this virtual symposium is to provide learners with real-life solutions and resources for streamlining the PA process in their practices, with the goal of reducing the associated burdens on healthcare providers, minimizing related stress for patients and preserving time for direct patient care.

Prior to this educational activity, an infographic overview outlining recommendations and resources for streamlining the PA process in clinical practice was provided to learners at the 13th Annual CMHC Meeting. As part of the infographic review, learners were also able to submit particularly challenging patient cases associated with PA, or common challenges endured during the PA process. The infographic primer will be briefly reviewed, and the cases will be addressed by the expert faculty during this virtual symposium. An advocate for the Doctor-Patients Rights Project will also share their mission and provide a challenging experience encountered during the PA process.

Intended Audience

US-based healthcare professionals, including primary care clinicians (PCPs), nurse practitioners (NPs), physician assistants (PAs), endocrinologists, diabetologists, pharmacists, cardiologists, lipidologists, and other allied health professionals.

Educational Objectives

Upon completion of this activity, participants should be able to:

  • Describe the burden of the prior authorization process on physicians and staff in clinical practice and patient outcomes
  • Identify strategies and resources that reduce the time and expenses associated with submissions for prior authorization
  • Develop prior authorization processes to gain drug and procedure approval for patients in a timely manner

Conflict Of Interest Disclosure Policy

Global Education Group (Global) requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by Global for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

Faculty

Pamela B. Morris, MD (Chair)
Director, Seinsheimer Cardiovascular Health Program
Co-Director, Women’s Heart Care
Medical University of South Carolina
Charleston, SC

Dr. Morris discloses the following:
Consultant/Independent Contractor: Amgen, Sanofi Regeneron, Esperion
Grant/Research Support: Amgen, Esperion

Christie M. Ballantyne, MD
Professor of Medicine
Chief, Section of Cardiovascular Research
Chief, Section of Cardiology
Department of Medicine, Baylor College of Medicine
Director, Center for Cardiovascular
Disease Prevention
Baylor College of Medicine
Methodist DeBakey Heart Center
Houston, TX

Dr. Ballantyne discloses the following:
Grant/Research Support (all significant, all paid to institution, not individual): Abbott Diagnostic, Amarin, Amgen, Esperion, lonis, Novartis, Pfizer, Regeneron, Roche Diagnostic, Sanofi­Synthelabo, NIH, AHA, ADA.
Consultant/Independent Contractor: Abbott Diagnostics, Amarin, Amgen, AstraZeneca*, Boehringer lngelheim*, Eli Lilly, Esperion, lonis, Matinas BioPharma Inc, Merck*, Novartis, Pfizer*, Regeneron, Roche Diagnostic, Sanofi-Synthelabo*
*Significant where noted (>$10,000); remainder modest (<$10,000).

Kim K. Birtcher, PharmD
Clinical Professor
University of Houston College of Pharmacy
Houston, TX

Dr. Birtcher has nothing to disclose.

Matthew Stryker, PharmD, BCACP, CLS
Assistant Professor
Albany College of Pharmacy and Health Sciences
Albany Medical Center – Division of Community Endocrinology
Albany, NY

Dr. Stryker discloses the following:
Grant/Research Support: AstraZeneca Pharmaceuticals, LP
Speaker’s Bureau: Amgen, Regeneron Pharmaceuticals, Inc.

Accredited Provider Disclosure

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Ashley Marostica, RN, MSN, has nothing to disclose.
Lindsay Borvansky has nothing to disclose.
Andrea Funk has nothing to disclose.
Amanda Turner has nothing to disclose.
Erin Franceschini, MS, has nothing to disclose.
Karin McAdams has nothing to disclose.

Credit

1.00

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Global Education Group (Global) and CMHC. Global is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement

Global Education Group designates this virtual activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM  .  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit

1.00

Type

CNE Contact Hour(s)

Accreditation Statement

Global Education Group is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

This educational activity for 1.00 contact hours is provided by Global Education Group. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

There are 0.50 pharmacotherapy hours available for this activity.

Credit

1.00

Type

CE for Pharmacists

Accreditation Statement

Global Education Group is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Designation Statement

Global Education Group designates this continuing education activity for 1.00 contact hour(s) (0.10 CEUs) of the Accreditation Council for Pharmacy Education. This is a knowledge based activity. Universal Activity Number (UAN): 0530-9999-18-428-H04-P

Credit

1.00

Type

CPEU Credit

Accreditation Statement

Global Education Group is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR).

Designation Statement

CDR Credentialed Practitioners will receive 1.00 Continuing Professional Education units (CPEUs) for completion of this activities / materials. CPE Provider #GE012

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Global Education Group (Global) and CMHC do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Instructions

To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed all 4 modules, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

For information about the accreditation of this activity, please contact Global Education Group at 303-395-1782 or cme@globaleducationgroup.com.

If you have any other questions relating to your certificate or other issues with the activity, please contact myCME.Support@haymarketmedical.com.

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