Medicare Advantage & Third Party Payers: How To Get Paid

Tuesday, October 25, 2022: 11:00 AM - 12:00 PM

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Description

Home Health providers love accepting Traditional Medicare patients, however, accepting Medicare Advantage plan patients is not desirable.  Let us show you that it's really not a bad idea to accept and bill Medicare Advantage Plan patients.  We will discuss what needs to be done before you accept a Medicare Advantage Plan patient on service.  Knowing the difference between Episodic and Per Visit billing is crucial.  Also, knowing the difference between checking benefits vs. eligibility vs prior authorizations is also vital. We will show you the tools that are necessary for you to be successful in billing and getting paid for your Medicare Advantage Plan patients.

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Topic(s)

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  Medicare Advantage

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Methodology

Course Level: Intermediate; 1.2 Accounting CPEs (NASBA/RE) 1 Nursing CNEs contact hours

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Learning Outcomes

1. Discuss To be or not to be……In Network.. What you need to know BEFORE signing that contract. Plus Credentialing, Contracts, Rates, Rules and Negotiation.
2. Compare Benefits vs. Eligibility vs. Prior Authorization vs. Nothing.
3. Define Clearinghouses.

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Handout(s)

• AM22-606