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    Webinar On Reimbursement Explained

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    Website https://www.mentorhealth.com/control/w_product/~product_id=801397LIVE?ourglocal_oct_2018_seo | Want to Edit it Edit Freely

    Category Healthcare reimbursement systems;Prospective Payment Systems;contract negotiation

    Deadline: October 11, 2018 | Date: October 12, 2018

    Venue/Country: Online, U.S.A

    Updated: 2018-08-17 16:24:23 (GMT+9)

    Call For Papers - CFP

    Training Options Duration: 90 Minutes

    Friday, October 12, 2018 | 10:00 AM PDT | 01:00 PM EDT

    Overview: Healthcare reimbursement systems can be complex and difficult to understand. Each payor may use a different method to reimburse providers, or they may use a variation of a commonly used method. This course will provide a foundation for understanding the common reimbursement systems in use today.

    We start with Medicare's reimbursement systems of RBRVS, DRGs, and APCs because many other payors use modified versions of these systems. We then discuss other payor types such as HMOs, PPOs, and ACOs and how these organizations use other reimbursement methods such as capitation, per diems, and carve outs. Finally, we discuss the key data elements needed to adjudicate claims according to each scheme, and we discuss the financial incentives (and disincentives) associated with each method.

    Why should you Attend: This webinar is beneficial for anyone who works with medical claims and who wants a better understanding of the differences between charges and allowed amounts, how health plans and payors adjudicate claims, and how providers and payors use reimbursement methods to align incentives to manage cost and quality.

    This session is also useful for provider and health plan contract managers and directors who want to build on their understanding of reimbursement mechanisms and who want to improve their contract negotiation skills.

    Areas Covered in the Session:

    Prospective Payment Systems: DRG and APC based reimbursement

    Typical hospital contracting structures: per diem, per stay, carve outs, case rates, minimum/maximums, etc.

    Physician fee schedules and fee maximums, RBRVS, RVUs and capitation

    Major payor types (Medicare, Medicaid, HMO, PPO, ACO, etc.) and how they reimburse providers

    Who Will Benefit:

    Health Plan and Provider CFOs

    Analysts

    Provider Contract Managers

    Claim Examiners

    Reimbursement Directors

    Payment Integrity Managers

    Revenue Managers

    Speaker Profile

    Rich Henriksen is the Chief Executive Officer and founder of Nokomis Health. Rich has 30 years of experience in healthcare systems, coding, billing, and reimbursement. He has led managed care departments and provider contracting units at a variety of organizations, including hospitals, clinics, and health plans. Rich has worked with over 70 different organizations, ranging from hospitals and clinics to third-party administrators, law firms, and internet-based companies. As a respected industry expert, he is well known for his unparalleled depth of knowledge in all aspects of healthcare coding, billing and reimbursement.

    Price - $139

    Contact Info:

    Netzealous LLC - MentorHealth

    Phone No: 1-800-385-1607

    Fax: 302-288-6884

    Email: supportatmentorhealth.com

    Website: http://www.mentorhealth.com/

    Webinar Sponsorship: https://www.mentorhealth.com/control/webinar-sponsorship/

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    Keywords: Accepted papers list. Acceptance Rate. EI Compendex. Engineering Index. ISTP index. ISI index. Impact Factor.
    Disclaimer: ourGlocal is an open academical resource system, which anyone can edit or update. Usually, journal information updated by us, journal managers or others. So the information is old or wrong now. Specially, impact factor is changing every year. Even it was correct when updated, it may have been changed now. So please go to Thomson Reuters to confirm latest value about Journal impact factor.