The WCB held a webinar on 3/27/2024 to keep payers updated.? Below are key takeaways.
- Most PARs are resolved within 2 weeks and 95% are resolved without escalation to Level 3
- Multi Factor authentication is now required for access to OnBoard
- If the provider submits an incorrect PAR type, it is okay for the payer to explain that the PAR needs to be resubmitted as the correct PAR type.?
- However, there is no mechanism to do this at Level 1.? The Level 2 physician must still do a medical necessity review but note that it needs to be resubmitted as the proper PAR type. The subsequent PAR can then be approved at Level 2 if it was medically necessary.
- If a provider is submitting duplicate PARs without new information regarding the patient’s condition, it should be monitored.? It’s the provider’s judgment regarding changes in condition and the need for the treatment, but if there are repeated incidents, you can alert the medical director’s office at [email protected].
- If a DME PAR is sent at the same time as a surgery PAR, but is due before the surgery due date, you can respond and ask the provider to resubmit the PAR after any approval is granted for that surgery.
