INTRODUCTION
PROGRAM OBJECTIVES
- Describe basic concepts related to health insurance coverage
- Explain how both private health insurance and public health insurance are financed
- Explain the ways in which private and public health insurers reimburse medical providers
- Compare and contrast private and public financing and delivery models of healthcare services
- Identify the various determinants of access to care for low income and vulnerable populations
- Evaluate how specific policy proposals will likely affect access to care and healthcare spending
- Analyze how the political process affects the financing and delivery of healthcare System
WHO SHOULD ATTEND?
- Health care managers or supervisors,
- Healthcare systems employees looking to provide cost-effective training opportunities,
- Physicians, nurses, social workers, and healthcare professionals who have recently joined a managerial position,
- Healthcare professionals at rehabilitation centers,
- Those who intend to build their understanding of healthcare insurance and payment systems
PROGRAM OUTLINE
- Introduction to Health Insurance
- Life Cycle of an Insurance Claim
- Introduction to Healthcare Reimbursement
- Bundles
- Health Care Reform/economics
- The Clinical Coding Reimbursement Connection
- Healthcare Insurance Plans
- Government Sponsored Healthcare Programs
- Automate communications, billing and insurance payment
- Managed Care Plans
- Prospective Payment Systems
- Reimbursement issues
- Coding for medical necessity
- Tricare
- Workers’ compensation
- Salaries and fringe benefits
- Ambulatory payment systems
- Revenue cycle management
- Quality Issues
- Risk aversion
- Accountable Care Organizations (ACOs)
- Patient-centered medical homes
- Pathways
Permintaan Brosur penawaran Training
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