Managing Managed Care Receivables
Part of the Business Office Excellence Series
October 21, 2010
2:00 pm – 3:30 pm
Live Webinar
CEUs for Administrators, Nurses, Accountants
Description:
Managed care plans (interdependent systems that integrate the financing and delivery of health care services)—differ in how they deliver care, ease of access to care, flexibility in network and out of network choice, and services covered. Much remains to be learned about the long-term effects of managed care on access, cost, and quality of care. In this session, we will learn how to effectively monitor the eligibility screenings, request authorizations and follow through to prompt reconciliation of payments. We will discuss the protocols of system maintenance to properly account for contractual allowances and the patient copayments and deductibles reported on the explanation of benefits.
Objectives:
1. To understand the difference between the Managed Care plans (do they really walk, talk and look like the traditional Medicare or Medicaid plans?)
2. How to properly reconcile the explanation of benefits and apply contractual allowances accurately
3. How to determine the correct copayments and deductible amounts which are due from your patient and when you should collect them.
October 21, 2010
2:00 pm – 3:30 pm
Live Webinar
How it will work:
One week prior to the teleconference, you will receive an email with the toll-free number and access code for your contact person at the facility to enter the teleconference, as well as any handout materials and continuing education request forms. The number and access code are only valid for one connection (phone line). Any additional connections will be billed the teleconference registration fee.
Kelly Sorensen – Revenue Cycle Advisor, CMOM
Howard, Wershbale & Co
An OHCA Platinum Champion Partner
With over 20 years experience in health care management and receivables, Kelly has sophisticated knowledge in both the payer and provider side of health care organizations, with a particular concentration on pre and post audit chart reviews. Her comprehensive understanding of coding and compliance regulations provides hospitals, physicians, and insurers, to move forward with globally integrated health care systems.
As a Certified Medical Office Manager, Kelly specializes in projects concerning all phases of the revenue cycle as well as technology improvements and efficiencies. Training facilities inside and out of Ohio, Kelly has presented on both A/R and billing topics to statewide health care associations.
Kelly’s expertise in A/R management spans a wide array of health care organizations such as: acute care hospitals, ambulatory centers, physician and specialty practices, skilled nursing facilities, durable medical equipment, specialty clinic billing and receivable management, ASC, diagnostic and DME billing.
Kelly is a member of the Metropolitan Directory of Executives, Professionals and Entrepreneurs, the National Registry of “Who’s Who” in Professionals, and is also a Certified Medical Office Manager
Continuing Education Credits:
The programs is approved for one (1.0) hours of credit for nursing home administrators, accountants and nurses. Individual attendance will be monitored throughout the call. Only those attending the entire call will be awarded continuing education credit. All participants regardless of need for CEUs, will receive a certificate of attendance. Upon receipt of your request for continuing education form, certificates will be mailed to the facility.
How much does it cost?
Facilities will pay one low fee for an unlimited number of participants. However, the number and access code is valid only for one phone line/computer at the location registered with the Association. Any additional telephone #’s/computers calling in will be billed for the registration fee.
Have a conflict the day or time of the call or just want other shifts to be able to hear the program? This program is being recorded and a cd-rom along with the handouts is available for purchase. CEUs are not available for listening to the CD.
It is imperative that an email address is provided as this is where call in code and handout materials will be sent.
Registration Fees:
Members:
Prior to October 3: $75
October 3 and after: $100
All Others:
Prior to October 3: $130
October 3 and after: $175