Friday, May 14th Prior Authorization Pre-Conference Schedule The slides for each presentation are linked to the session titles in the agenda below

Recorded Pre-Conference on Prior Authorization Access Passcode: 5P#8U1CP

All times eastern standard time Examination of the Prior Authorization Implementation Guides (Documentation Template and Rules-DTR, Coverage Requirements Discovery-CRD, Prior Authorization Support-PAS)                                      11:00-12:30 - Da Vinci Overview - Deep Dive into the Prior Authorization IGs Bob Dieterle, CEO and Owner, EnableCare Larry Decelles, Lead Health IT Software Engineer, MITRE Corporation Gary Gryan, Principal Health Technologist, MITRE Corporation                                      12:30-12:45 - NPRM Review Alex Mugge, Deputy Chief Health Informatics Officer, CMS                                      12:45-1:30 - HL7 Da Vinci Project Panel Sagran Moodley, Chair, HL7 Da Vinci Project Steering Committee, Senior Vice     President, UnitedHealthcare (moderator) Ed Yu, Physician, Sutter Health Alex Mugge, Deputy Chief Health Informatics Officer, CMS

2:00-2:30 Understanding the CMS Prior Authorization Rule and MCG’s Vision to Address Burden Reduction

The Centers for Medicare & Medicaid Services (CMS) recently issued a rule (frozen) that will improve the electronic exchange of healthcare data among payers, providers, and patients. The CMS rule will streamline processes related to prior authorization with the goal of reducing the burden on providers and patients. Medicaid, CHIP (Children's Health Insurance Program), and QHP (Qualified Health Plan) payers will be required to build and implement FHIR-enabled APIs that will: Allow providers to know, in advance, what documentation would be needed for each different payer Streamline the documentation process Enable providers to send prior authorization requests (and receive responses electronically) directly from the provider’s EHR or other practice management system   Learning Objectives for this session: What the proposed rule means to both payer and provider organizations and how it may impact their prior authorization processes. How the proposed rule may reduce the burden on providers and patients. What your organization will need to prepare (both clinically and technically) to comply with the upcoming FHIR API mandate. How prior authorization can be part of the EHR workflows. 2:30-3:00 - Prior Authorization highlights from April 26-30 Da Vinci Education & HL7 FHIR Implementation Event Vanessa Candelora, Senior Consultant, Point-of-Care Partners 3:00-3:45 - Harmonizing X12 and FHIR for End-to-End PA Automation Cathy Sheppard, Executive Director, X12 Alix Goss, Vice President and Senior Consultant, Imprado Patrick Murta, Chief Interoperability Architect & Solutions Architecture Fellow,                 Humana

3:45 - 4:45 Panel Discussion: Pushing it Over the Goal Line- What Must Be Done to Make PA Work

After a full day of Prior Authorization content, our expert panel of healthcare thought leaders discuss how the industry can work together to address prior authorization data exchange requirements. Raj Godavarthi, Associate Vice President, Technology & Interoperability, MCG Jon Zimmerman, CEO Holon Solutions David Haugen, Director Administrative Simplification Program, Minnesota Dept of Health  Robert Tennant, Vice President, Federal Affairs, WEDI

Pre-Conference sessions will concentrate on prior authorization updates May 14 and a special spotlight on the Da Vinci Project May 17. Check out the full agenda. To make your life easier we have set up corporate rates so everyone in your organization can participate live and/or watch on-demand with just one payment.

WEDI 2021 will focus on burden reduction, health equity, compliance driven innovation, patient driven value and data driven care.

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