Topics include: Medicaid, Worker’s Compensation, Silent PPOs, Auto Silent PPOs, MPPR & Copay Law
Please register for our webinar on the above topics that will also feature APTA expert Carmen Elliott (Director of Payment & Practice Management): on Oct 23, 2013 from 12:00 PM – 1:30PM EDT : Carmen will present: “Understanding Medicare Advantage & Multiple Procedure Payment Reductions” Deadline to register is Tuesday, October 22.
Register using this link: https://attendee.gotowebinar.com/register/2081037215441374465
About 1 in 4 Medicare recipients are enrolled in a Medicare Advantage (MA) private health plan. Being federally funded, MA plans must meet certain federal requirements. Because they are offered by private companies, however, they mimic private insurance. Thus, as a provider accepting MA patients, you must adhere to both the terms and payment conditions of the specific MA plan and any related federal Medicare requirements. Recently, the MA private health plans have implemented the multiple procedure payment reduction (MPPR) methodology. Physical therapists must know what is expected with MA plans and how to appeal if there are debatable denials or actions by the payer. Gain insight into the MA program, find out how to comply with federal MA requirements and learn how to negotiate these private insurance company contracts through this webinar.
1. Describe the Medicare Advantage program and how it affects your patients.
2. Identify federal requirements for the Medicare Advantage program.
3. Identify problem areas in contracts with private insurers that provide Medicare Advantage plans.
4. Identify strategies in appealing MPPR reductions with private payers.
Carmen Elliott is the senior director of Payment and Practice Management at the American Physical Therapy Association. Her primary responsibilities at APTA include developing and implementing strategies to advocate for payment policies for physical therapists services and providing leadership to the private payment area. Carmen also communicates with members about payment and practice management issues, including physical therapy coverage, payment, coding, managed care contracting, and auto liability coverage.
Carmen received her BS degree from Bowie State University, Bowie, MD and a MS degree in Health Care Management from Marymount University, Arlington, VA. Prior to joining APTA in September 2006, Carmen was a Practice Administrator for a large physical therapy practice in Southern Maryland.
After registering, you will receive a confirmation email containing information about joining the webinar.
Fees : $25 per computer login, $15 for each certificate of completion toward PT & PTA Kentucky relicensure for KPTA members. $30 for each certificate of completion for non-members.