Managed Care, Payor Sources and Medicare Conditions of Participation
English
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Self-Paced
Finish in
15 mins!
Finish in
15 mins!
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Employees
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Employees
only
Certificate
of Completion
of Completion
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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.
