Description
This session will take a deep dive into the contractual requirements of Medicare managed care plans. This session will outline the necessities of the verification/authorization processes and appropriate coding/billing practices in order to get paid by these managed care plans. Significant missteps often leave agencies in the situation of writing off balances instead of collecting payment. This session will highlight some key components of working with plans such as CareCentrix to get the claim paid the first time you bill it. Don’t be left in the dark regarding Medicare managed care!
Objectives
Objectives: 1) Attendees will express and understanding of key information to look for when reviewing managed care payer proposals 2) Attendees will express an understanding of the key functions associated with the authorization and claims submission processes 3) Attendees will express an understanding of some of the concerns and possible issues when setting up various managed care payers in various software systems.
Certificate
By completing/passing this course, you will attain the certificate HCAF Course Certificate
Learning Credits
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