The continued momentum of Medicare Advantage and Managed Care Plans creates a formidable financial challenge for post-acute care providers that can quickly disrupt the tempo of operations. This session will consider the integration of managed care payors into a provider’s census mix and best practices for successful financial outcomes. The discussion will also delve into National and State level trends; emerging health plans and industry consolidation; and contracting challenges today and in the future.
Speakers/Course Authors - Nanette Smith
Attendees of this workshop will:
- Explain shifts in payment structures of managed care health plans, the challenges of attaining financially viable contracts, and how industry consolidation is impacting the market at local and national levels.
- Present a set of best practices to navigate managed care and integrate them into a provider’s current systems and workflow.
- Recognize common intake practices and billing errors that often result in reduced or non-payment of claims.
By completing/passing this course, you will attain the certificate HCAF Course Certificate
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