Why lose half, or more, of a reimbursement because of secondary payers claiming the primary already covered their share? Why wait years to collect until the matter is settled? Learn to negotiate terms in your contracts enabling you to receive all billed charges whenever possible. A special focus on apportioned claims and subrogation issues with Managed Care will be included.
This class is well-suited for both revenue cycle staff and contract negotiators!
About the Presenter
Maria Todd is a consultant, speaker, author and health care industry thought leader. With more than 30 years in health care and combined health plan, clinical, health administration and health law paralegal and mediation professional work experience, Maria Todd is a veritable tour de force when it comes to managed care and contracted reimbursement training. She has trained more than 53,000 students and seminar participants in over 2600 seminars, lectures and webinars since 1989. She has taught the 2-day Managed Care Contracting classes for the past 12 years for the HFMA and currently teaches contracting, integration and accreditation-related subject matter around the world for domestic and international healthcare providers seeking to establish contracted relationships with US and other Health Plans, Government Ministries and Employers.
Dr Todd is an Advanced Member of the Healthcare Financial Management Association (HFMA). She has been named an HFMA Distinguished Speaker for every year that she has presented, and is a 2006 recipient of HFMA's Muncie Gold Award. She serves on the Editorial Board of HCPro's Managed Care & Contracted Reimbursement Advisor and has hundreds of journal articles, interviews and white papers to her credit. She is the author of The Managed Care Contracting Handbook (1996), IPA, PHO, MSO Development Strategies (1997), the Physician Employment Contract Handbook (1999), and is about to release 2nd Editions of each of these titles with Taylor and Francis in 2009, as well as new titles on Global Health Care Program Development and The Medical Tourism Facilitator's Handbook, slated for release in 2009.
Maria is an active member of HFMA, MGMA and the American Society of Training and Development.
What is Required to Participate?
Computer with a sound card and speakers or a headphone. If you wish to
ask questions during the class, you can type them in a chat-enabled
screen during the program or you may ask questions orally if you have a
microphone connected and enabled for VOIP chat.
Joining a Audio Webinar on a PC or Mac® computer is easy. When you receive a AudioWebinar email invitation, click the registration link and register for the AudioWebinar. You can then join the AudioWebinar at the scheduled time by clicking the “Join a Webinar” button or link in your confirmation email, which will be automatically sent shortly before the program upon completing your registration. You do not need to pre-install any software prior to joining the Webinar.
Upon receiving your invitation and at th e appointed time, join our Webinar by typing in the URL www.joinwebinar.com, and then type or paste in the Webinar ID provided by us and enter your email address, click “Yes” or “Always” (or “Trust” on a Mac) if prompted to accept the download, and, if required, enter the Webinar password provided by us.
What is a webinar?
A webinar is a live training presentation conducted via the internet and/or telephone. Participants log-on and dial-in at a designated time to hear the speaker over their computer speakers and view the slide presentation on their computer screen. Our webinars are the most cost-effective form of training because you can invite as many colleagues as you’d like to listen in on and you incur no travel expenses or additional time away from the office.
How do webinars work?
A few days prior to the conference, you'll receive by email a web link that will provide the information you need to join the conference. The email will include a link to download the agenda and the speakers' presentations prior to the call for your review, and a web link to access during the conference to follow along with the speaker's presentation online.
How do I join a conference that I registered for?
Approximately five minutes before the conference start time, click on the link to access the conference online. This will take you to a web page where you will be prompted to enter your name and email address. Once you have entered that information, click the "Join" button. To access the audio portion, turn on your computer speakers. (You must have a sound card and speakers or a headset to listen to the program online).
How can I register?
Online by visiting the links for registration provided
How do I get the handout(s)?
A link to download the speaker handouts will be emailed a few days prior to the webinar. The handouts will also be available online during the conference for participants to follow along.
Coordination of Benefits and Subrogation of Rights of Third Party Liability: ... Coordination of Benefits and ... under any other health care contracts ...
Coordination of Benefits and Third-party Liability Payment Policy. ... to protect its right to reimbursement and/or recovery after one of ... or other third-party ...
Third party liability refers to situations in which ... Third Party Liability and Coordination of Benefits, ... Third Party Liability and Coordination of ...
Coordination of Benefits or Other ... Coordination of Benefits or Other Insurance Liability Providers must cooperate with and support coordination of benefits ...
Model COB compares primary liability to secondary liability and ... benefits with other ... include coordination of benefits in their contracts, ...
the potentially liable third party. ... sharing amounts up to the WellCare allowable for total reimbursement. WellCare’s liability ... Coordination of Benefits 1.4 ...
Coordination of Benefits ... In cases where Oxford can verify the other carrier is using the Gender Rule, ... Third Party Liability:
Per the BCBSTX coordination of benefits contract language, ... other third party liability. ... physician and other professional provider reimbursement covers the
Section 3.5 Third Party Liability and Coordination of ... a person if it is known that a third party (i.e., other ... Liability and Coordination of Benefits, ...
Third Party Liability and Recoveries 9.1 Coordination of Benefits ... coverage is an individual or family insurance contract (other than noted in the preceding
Commonwealth is currently reviewing its Third Party Liability/Coordination of Benefits (TPL/COB) ... Community Care approved reimbursement ... COB/Third Party ...
Coordination of Benefits ... Third Party Liability: ... 3. Medicare & You: Medicare and Other Health Benefits: Your Guide to Who Pays First.
... coordination of benefits from a third party ... benefits, including other party liability, and to obtain any information or documentation required by CarePlus and ...
The intent of the Effective Practices Guide, presented by CMS in collaboration with various state COB/Third Party Liability units is to provide state Medicaid ...
... Medicare/Medicaid Coordination of Benefits ... effectively coordinate Medicare and other third-party liability benefits for the ... any reimbursement.
Medicare Secondary Payer for ... http://www.cms.gov/Medicare/Coordination-of-Benefits ... Was in an accident or other situation where no-fault or liability ...
the requirements for coordination of benefits under Medicare ... regarding third party reimbursement ... Liability Reduction Due to Other ...
... in identifying, using or collecting third-party benefits. ... the Coordination of Benefits ... Accident case with potential liability ...
Third Party Liability and ... Coordination of Benefits ... Highmark West Virginia will coordinate group benefits with other group plans and contracts providing ...
Billing and Reimbursement ... Coordination of Benefits with other third party payers ... electronically to BCBSIL for all members including those from other BCBS
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►►►►Hennessy ∞ Artistry ◄◄◄◄ ♪ϗ...