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How to Challenge Unreasonable Positions by Medicare Advantage Plans

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Learn how to deal with the unreasonableness of Medicare Advantage and other private plans when determining patient admission status under the two-midnight rule and other issues that differentiate Medicare Advantage plans from Medicare.

Price: $229.00

Product Code: AR032819


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Description Biography
 

Few healthcare issues are as controversial as the one that is raging now in hospitals, health systems and clinics. In fact, few topics are as likely to create frustration than the one that potentially forces you to handle the admission status of two otherwise identical 65-year-old patients differently based on whether they have traditional Medicare or Medicare Advantage. Frustration over this topic triggers the need for this special educational webcast led by nationally recognized healthcare attorney David Glaser.

During this essential and timely webcast, David Glaser will answer questions that are foremost on the minds of healthcare professionals:

  • Do you need to follow Medicare rules for Medicare Advantage plans?
  • Do Medicare Advantage plans need to follow Medicare rules like the two-midnight rule?
  • Can you treat privately insured patients differently than Medicare patients?

Knowing when you are obligated to follow instructions from a private insurance company is difficult. This session will walk through some rules you must follow when you can push back, and strategies for making this relationship less frustrating.

Why This is Relevant:

Enrollment by beneficiaries in Medicare Advantage programs is reported to be 20.4 million people. As enrollment in Medicare Advantage plans continues to grow, healthcare providers can expect to experience more misinterpretations between rules governing traditional Medicare and those of Medicare Advantage. Knowing how to respond to the challenges in dealing with Medicare Advantage and other private payer plans is the subject of this webcast—a webcast created in response to an ever-increasing demand for guidance in dealing with such plans.

Learning Objectives:

During this vitally important webcast, healthcare attorney David Glaser will help you and your team…

  1. Understand the role the contract plays for both MA and private insurance plans;
  2. Recognize how state law may affect payer contracts; and
  3. Learn strategies for challenging unreasonable positions taken by insurance companies.

Who Should Attend:

CEOs, CFOs, auditors, coders, physician advisors, chief financial officers, RAC coordinators, compliance professionals, case managers, UR staff, chief medical officers, social workers, and revenue integrity and revenue cycle specialists.