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  • Author: Adrienne Roth
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11702

Managed Care, Payor Sources and Medicare Conditions of Participation

Author: Adrienne Roth

Category: Online Health Training > Other

This module is an overview of managed care, payor sources and Medicare conditions of participation for use in Home Health Care Training.  Covered topics in this module include: Origins of Managed Care Organizations Federal Government Agencies State Government Agencies Health Maint...

Keywords: Home Heath, healthcare, Medicare, Medicaid, Accreditation, HCFA

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Table of Contents:

Origins of Managed Care Organizations
Federal Government Agencies
State Government Agencies
Health Maintenenance Agencies
Preferred Provider Organizations
Private Insurance
Regulatory Compliance
Accreditation
Conditions of Participation for Medicare
Basic Medicare Criteria
Medical Equipment and Supplies
Medicare Exclusions
Recertification
Duplication of Services
Skilled versus Non-Skilled Services
Place of Residence
Outcome and Assessment Information Set
And more.

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