Simplifying Medicare compliance: Solutions to keep you aligned

Staying compliant is more complex than ever

As the Medicare population grows and regulatory requirements become more stringent, the Medicare landscape grows increasingly complex. Consistent, transparent and accurate application of National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs) and related articles and policies is crucial but can be challenging to navigate. 

Watch this on-demand webinar to discover how to streamline the medical review process for Medicare beneficiaries while ensuring adherence to the latest CMS regulations. 

Kristin Calheno-Hill RN, BSN, MA, director, Strategic Clients at Optum provides an overview of Medicare Content Navigator and InterQual® Transparency, which are designed to help you align with the Medicare Advantage final rule (CMS-4201-F). 

Stephan Rubin, director, Product Management at Optum also provides an exclusive sneak peek of the InterQual team’s product development initiatives that will support compliance with the CMS Interoperability and Prior Authorization final rule (CMS-0057-F), effective January 1, 2026.