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 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.