Managed care is the coordination and the arrangement of health services that links together medical care with the managed care organization and payer that offers the covered benefits. This course, prepared by Strategic Healthcare Partners (SHP), consists of five basic lessons to teach you the idea and flow of the contract process and how it can benefit and protect your facility. These lessons were designed for staff members that are new to the Business Office, Registration, or anyone who wants to learn more about basic managed care principles.
1) Managed Care 101 - The Basics
2) Managed Care 102 - Where Do I Fit In?
3) Managed Care 103 - Implementing A New Managed Care Contract
4) Managed Care 104 - Part 1 Addressing Internal Issues
5) Managed Care 104 - Part 2 Addressing Internal Issues
COURSE OUTCOMES -- Upon completion of this course, you will be able to:
- Define Managed Care and cite the types of managed care plans.
- Explain how managed care plans fit into the revenue cycle.
- Explain why facilities need managed care contracts and the steps to successful contracting.
- Examine and solve internal issues with managed care contracting that affect rural facilities.
Course Length: 1 hour 30 minutesCost: $18
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