The latest on healthcare regulatory and legislative issues with Andy Bressler
A look at the latest healthcare regulatory and legislative issues moving through Congress, Health and Human Services (HSS) and the Center for Medicare & Medicaid Services (CMS).
Compl: The Outpatient Prospective Payment System
This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective payment system. The course can be used as a basis for understanding compliance issues relating to the OPPS.
Compl: Medicare Compliance Concerns
This course addresses specific Medicare compliance and coding issues. It will review terms such as MS-DRG window, Two-midnight rule, Correct coding initiative (CCI), modifiers, and Medicare secondary payer (MSP).
Developing and operationalizing a successful Medicare Advantage strategy
As the senior population continues to outpace the relative growth of the general population, and Medicare Advantage is accounting for about one-third (and growing every year) of all new Medicare eligible enrollees, providers are increasingly faced with the strategic questions of how best to engage with this rapidly expanding segment of their business portfolio. This question is further complicated by market disruptors, who are entering markets across the U.S. to aggregate independent physicians to manage this population.
The focus of this webinar is to raise awareness and understanding of the key considerations for:
- Develop a market-tailored Medicare Advantage strategy
- Define payer/contracting approaches and value propositions
- Identify appropriate infrastructure and analytics
- Establish high-performance networks and realizing successful execution