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.