Webinar On Reimbursement Explained

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: support@mentorhealth.com
Website: http://www.mentorhealth.com/
Webinar Sponsorship: https://www.mentorhealth.com/control/webinar-sponsorship/
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12 Views

12 Oct 2018 - 12 Oct 2018

Event Serial
: ECA10393
Event Type
: Webinar
Contact Person
: Roger Steven Send Message
Deadline for abstracts/proposals
: 11 Oct 2018
Organized by
: Netzealous LLC - MentorHealth
Venue
: Fremont, CA, United States of America

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