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DTSTAMP:20260523T235750Z
SUMMARY:Webinar On Reimbursement Explained
DESCRIPTION:Overview: Healthcare reimbursement systems can be complex 
 and difficult to understand. Each Overview: Healthcare reimbursement 
 systems can be complex and difficult to understand. Each payor may us
 e a different method to reimburse providers, or they may use a variati
 on of a commonly used method. This course will provide a foundation f
 or understanding the common reimbursement systems in use today.We sta
 rt with Medicare's reimbursement systems of RBRVS, DRGs, and APCs beca
 use 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 nee
 ded 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 wo
 rks with medical claims and who wants a better understanding of the d
 ifferences between charges and allowed amounts, how health plans and 
 payors adjudicate claims, and how providers and payors use reimburseme
 nt methods to align incentives to manage cost and quality.This sessio
 n is also useful for provider and health plan contract managers and di
 rectors who want to build on their understanding of reimbursement mec
 hanisms and who want to improve their contract negotiation skills. A
 reas Covered in the Session:Prospective Payment Systems: DRG and APC b
 ased reimbursementTypical hospital contracting structures: per diem, p
 er stay, carve outs, case rates, minimum/maximums, etc.Physician fee 
 schedules and fee maximums, RBRVS, RVUs and capitationMajor payor type
 s (Medicare, Medicaid, HMO, PPO, ACO, etc.) and how they reimburse pro
 vidersWho Will Benefit:Health Plan and Provider CFOsAnalystsProvider C
 ontract ManagersClaim ExaminersReimbursement DirectorsPayment Integrit
 y ManagersRevenue Managers\n\nFor more information visit https://medte
 chiq.ning.com/events/webinar-on-reimbursement-explained
DTSTART;TZID=America/New_York:20181012T100000
DTEND;TZID=America/New_York:20181012T113000
CATEGORIES:webinar
LOCATION:Online
WEBSITE:https://www.mentorhealth.com/control/w_product/~product_id=801
 397LIVE?medtechiq_oct_2018_seo
URL:https://www.mentorhealth.com/control/w_product/~product_id=801397L
 IVE?medtechiq_oct_2018_seo
CONTACT:800-385-1607
ORGANIZER:Netzealous LLC - MentorHealth
ATTACH;FMTTYPE="image/jpeg":http://storage.ning.com/topology/rest/1.0/
 file/get/2562012320?profile=original
ATTENDEE;ROLE=REQ-PARTICIPANT;PARTSTAT=ACCEPTED;RSVP=TRUE;CN="Roger St
 even":https://medtechiq.ning.com/profile/RogerSteven
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