As managed care plans and Medicare Advantage continue to grow, post-acute care providers face formidable financial challenges that can disrupt operations. This session examines the integration of managed care payors into a provider's census mix and best practices to achieve financial success. Discussion topics will also cover national and state trends, emerging health plans and industry consolidation, as well as current and future contracting challenges.
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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