Review the driving forces in managed care and initiatives that are driving healthcare change.
How managed care impacts an individual organization environment?
How can review and understanding of an insurance contract help maximize reimbursement and minimize denials? Give examples and negative impact if this component is ignored.
Identify problematic contract terms and explain how they can challenge HIM operations. Give examples and negative impact if this component is ignored.
Discuss capitation and percentage of charges. Identify the risks for healthcare provider and identify strategies for the healthcare provider to succeed in spite of them.
Review the driving forces in managed care and initiatives that are driving healthcare change.
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