Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Business Partners
Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Early Careerist
Student

Recommended for:

Billing
Claims
Managed Care
Patient Access
Patient Financial Services
Physician Practice
Reimbursement
Revenue Cycle

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

Issue At a Glance | Health Plan Payment and Reimbursement
One MA health plan discusses how it’s pushing further into value-based payment and what that means for providers.
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News | Health Plan Payment and Reimbursement
One MA health plan discusses how it’s changing its Medicare Advantage plans in response to market trends, the pandemic, social determinants of health and Medicare policies.
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News | Health Plan Payment and Reimbursement
Deductibles and underinsurance are increasing among those with individual-market coverage.
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News | Health Plan Payment and Reimbursement
Carve outs are a critical tool hospitals should use in negotiations with health plans to ensure the costs of more expensive conditions are covered.
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News | Health Plan Payment and Reimbursement
Hospitals hit by COVID-19 cases face a tight deadline to let HHS know they are interested in new funding that will be distributed next week.
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Course | Overview | Health Plan Payment and Reimbursement

Health Plans - An Overview

Course | Overview | Health Plan Payment and Reimbursement

Health Plans - An Overview

Description

In this course we will address the basic billing rules for major health plans, including an overview of basic billing features and benefits, types of billing rules and minor claim payers and plans.

Estimated course completion time: 30 minutes
After this program, you'll be able to..
  • Recognize the basic features of major government-funded health plans
  • Identify the basic features of other health plans including commercial plans and smaller government-funded plans

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