Audio and Video | On-Demand CLE
MHPAEA in the Courts [CC]
This book provides a detailed historical account of Medicare reimbursement and payment approaches used across nearly all provider types, along with a practical discussion of commercial payer contracting and payment strategies. It then concludes with a deep dive into the legal issues that arise in payer-provider disputes, including the most common issues and case examples.
Log In to view your rate
Unlock the discounted member rate
Join first as a member, and then purchase this product at special member pricing
A Practical Guide to Reimbursement in Managed Care provides historical background on Medicare reimbursement approaches as well as practical information on how commercial payers have adopted (or not adopted) Medicare reimbursement approaches and the challenges they have faced in the process -- both from a contracting strategy standpoint as well as a legal standpoint. Working through Medicare's reimbursement approaches across different types of healthcare providers, from hospitals to physicians and ancillary services, the book traces the origins of each of Medicare reimbursement systems and provides useful details on how the Medicare program calculates rates. It then moves into the commercial health insurance space, describing important concepts related to payer-provider contracting, types of health plans, and payer and provider perspectives on how they approach the contractual relationship. A Practical Guide to Reimbursement in Managed Care also provides a historical view of contracting both from a provider and payer perspective, layering in historical milestones with practical reasons why the U.S. system has become what it is today. It then concludes with a deep dive into the important legal issues that arise in payer-provider disputes, including contracts, commonly disputed issues and case examples.
ABA Book Publishing
9781639053810
202
5630166
6x9
11/16/2023 12:00:00 AM
Audio and Video | On-Demand CLE
MHPAEA in the Courts [CC]
Audio and Video | On-Demand CLE
Reimbursement 101: Overview of Billing and Coding Issues by Healthcare Setting [CC]
Audio and Video | On-Demand CLE
Emerging Trends in Disability and Wellness Benefits [CC]
Jun
04
Events | In-Person
2024 Antitrust in Healthcare
CLE 60 min
The Antitrust in Healthcare Conference continues a rich tradition with this jointly sponsored conference from the Antitrust Law and Health Law Sections. Healthcare continues to be in the antitrust sp…
Apr
03
Events | In-Person
25th Annual Emerging Issues in Healthcare Law Conference
CLE 60 min
The Emerging Issues in Healthcare Law Conference (EMI) covers the most compelling topics facing the healthcare bar. Our faculty of leading healthcare experts will provide you with an insiders��� view…
Jan
17
Events | In-Person
False Claims Act Mock Trial Institute 2024
ETHICS 60 min
Join us to learn the art of trying a False Claims Act case to a jury verdict in this award-winning program. Be a part of the experience, watch experienced plaintiff and defense counsel make their ope…