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  • Author: Adrienne Roth
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Managed Care, Payor Sources and Medicare Conditions of Participation

Managed Care, Payor Sources and Medicare Conditions of Participation

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.

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