Online Courses OSHA Compliance Workplace Safety Managed Care, Payor Sources and Medicare Conditions of Participation

Managed Care, Payor Sources and Medicare Conditions of Participation

Created by: Adrienne Roth
5.0 2,750 views
Last Updated 05/2025
English
Full Lifetime Access
Self-Paced
Finish in
15 mins!
Made for for
Employees
only
No Certificate
Provided
Mobile -
Friendly
Access

Skills covered in this course

Description

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.

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.

Frequently Asked Questions

This course is designed for employees who need to complete Managed Care, Payor Sources and Medicare Conditions of Participation training

Yes. This course is designed to meet applicable federal requirements and commonly mandated state standards. Always confirm specific state or industry requirements with your local regulations.

The course takes approximately 15 minutes to complete and can be paused and resumed at any time.

No. This course does not include a certificate of completion.

Yes. You can assign this course to individuals or groups using Coggno’s LMS, or purchase multiple seats for your team.

Yes. This course can be exported for delivery in most learning management systems (SCORM compatible).

Yes. The course is fully self-paced and available 24/7.

Yes. This course includes a knowledge check to reinforce learning and verify completion.

Learners have lifetime access from the date of purchase.

Yes. A preview is available so you can review the course format and content before purchasing.

Yes. Content is reviewed and updated as regulations and best practices change.

No. This course is not included with the Prime Subscription and must be purchased separately.

Yes. Refund requests can be submitted within 30 days of purchase.

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