Reimbursement Explained
Training
Online
*Indicative price
Original amount in USD:
$ 139
Description
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Type
Training
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Methodology
Online
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Class hours
1h
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Duration
1 Day
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Start date
February
This course will provide a foundation for understanding the common reimbursement systems in use today
Facilities
Location
Start date
Start date
About this course
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
Health Plan and Provider CFOs
Analysts
Provider Contract Managers
Claim Examiners
Reimbursement Directors
Payment Integrity Managers
Revenue Managers
Reviews
Subjects
- Webinar
- Healthcare Law
- Healthcare management course
- Medical
- Pharmaceutical Management
- HIPAA Compliance
- Risk Assessment
- Clinical coding
- HIPAA regulations
- Risk Management
Teachers and trainers (1)
Rich Henrikse
Chief Executive Officer and Founder of Nokomis Health
Rich Henrikse 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.
Course programme
Why you should 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.
Event link: https://www.mentorhealth.com/webinar/-801898LIVE?channel=emagister-FEB_2020_SEO Contact Info: Netzealous LLC - MentorHealth Phone No: 1-800-385-1607 Fax: 302-288-6884 Email: mentorhealth84@gmail.com Website: http://www.mentorhealth.com/
Reimbursement Explained
*Indicative price
Original amount in USD:
$ 139