APFM Section 3 Module 3: Utilization Management Administration
Module Description
Target Audience
Pharmacists, Pharmacy Technicians, Managed Care Professionals
Learning Objectives
At the completion of this activity, participants should be able to:
- Define electronic prior authorization and its significance in utilization management operations.
- Describe gold carding and its role within utilization management.
- Identify sources of administration burden and strategies to address them.
- Recognize the different types of smart logic systems and their benefits and challenges in utilization management.
Faculty:
Goldina Erowele, PharmD, MBA
Pharmacy Advisor/Consultant
KJC Media Health
Financial Relationship Disclosures:
Faculty/Reviewer/Planner | Reported Relevant Financial Relationships |
Goldina Erowele, PharmD, MBA Faculty | Cigna Healthcare, Employer |
- AMCP Staff have disclosed no relevant financial relationships.
- If applicable, relevant financial relationships have been mitigated and documented.
- Content has undergone a peer review to ensure content validity.
Accreditation:
ACPE UAN:0233-0000-23-026-H04-P • Activity Type: Knowledge-Based
Contact Hours: 0.75
Release Date: August 04, 2023 • Expiration Date: July 31, 2026
CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.
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- Review the full content of the activity.
- Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
- Complete a specific activity evaluation.