Webinar: Ohio Medicaid FFS Utilization Management: COVID-19 Claims


10 - 11 a.m.

Per federal requirements, the Ohio Department of Medicaid must conduct retrospective reviews to ensure medical necessity and that proper coding guidelines were followed. ODM’s utilization review vendor, Permedion, will provide an overview of inpatient and outpatient hospital claims with a diagnosis related to COVID-19. This webinar will provide an introduction of relevant COVID-19 coding guidelines and review MCG criteria utilized by ODM to review medical necessity of claims. This information will assist hospitals in submitting COVID-19 claims to ODM. 

Learning objectives

  • Participants will have an understanding of COVID-19 and its impact on providers
  • Participants will have an understanding of the MCG criteria utilized for COVID-19 admissions
  • Participants will understand basic coding guidelines for COVID-19 claims

A.J. Beisler, MD, MBA, FACS, CHCQM; National Medical Director, HMS Permedion
Christine Kitson, RN, BSN, CCA, CDIP; Project Manager, Ohio Medicaid-Utilization Review, HMS Permedion

Continuing Education Credits
The Ohio Hospital Association is registered with the Accountancy Board of Ohio. CPE Sponsor #235. OHA has applied for CPE continuing education credits for this program. Please contact Casey Strader at 614-221-7614 or Casey.Strader@ohiohospitals.org for more information on continuing education credits.

Registration Fees

  • No charge for OHA members, due to the generous support of OHA Corporate Partners.

Who Should Attend
This series is designed for OHA member hospital CFOs, accountants, directors of PFS, directors of revenue cycle, directors of revenue/reimbursement, analysts, coding and claims.

More Information
See the series brochure here.