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Essentials of Health Insurance for Medical Practices


About this program


Back by popular demand.

Whether you are working with government, commercial insurance carriers or managed care organizations, claims must be 100% accurate to be successfully processed and reimbursed. A high rate of clean claim submissions saves time, dollars, and frustration. This fast-paced overview of medical insurance and claim guidelines will teach a novice employee about plan types, guidelines, and steps to ensure proper reimbursement.

Additional learning objectives will include an overview of managed care contracting, levels of participation, benefits verification, payment processing, covered services, how long it takes to process a claim, and how the appeals process works. Participants will gain a full-view of insurance types, laws, and resources.

Other points covered will include:

  • Physician credentialing & fee schedule
  • Accrediting organizations
  • Alternative payment models
  • MACRA and MIPS value pathways