Reimbursement Explained 2018

Topics

• Typical hospital contracting structures: per diem, per stay, carve outs, case rates, minimum/maximums, etc
• Prospective Payment Systems: DRG and APC based reimbursement
• Major payor types (Medicare, Medicaid, HMO, PPO, ACO, etc.) and how they reimburse providers
• Physician fee schedules and fee maximums, RBRVS, RVUs and capitation

Who should Attend

• Analysts
• Health Plan and Provider CFOs
• Claim Examiners
• Provider Contract Managers
• Payment Integrity Managers
• Reimbursement Directors
• Revenue Managers