Unveiled: Managed Care Guide (TX-143-24-041)-Unveiled: Managed Care Guide (Slides)

Unveiled: Managed Care Guide (Slides)

Pdf Summary

This document appears to be an agenda and summary of a webinar presentation on the topic of managed care in the healthcare industry. The webinar is hosted by IHS (International Hearing Society) and features two presenters, Sean Drake and Samantha Sikorski.<br /><br />The agenda includes an overview of the new Managed Care Guide, discussions on compliance risk areas, how to use the guide effectively, and a Q&A session. The document also provides information on how to obtain CE credits for attending the webinar.<br /><br />The presentation covers various topics related to managed care, including different types of health insurance providers, benefit plan structure, third-party administrators, and third-party discount plans. It highlights the importance of understanding the difference between plans and policies and the valuable information contained in benefit cards and plans.<br /><br />The webinar also touches on legal compliance, including the Health Insurance Portability and Accountability Act (HIPAA), the False Claims Act (FCA), the Antitrust laws, and the No Surprises Act. It emphasizes the need for practices to comply with federal regulations, undergo regular training, and implement security and privacy safeguards.<br /><br />The document includes chapters and appendices that provide in-depth information on topics such as Third Party Administrators (TPA), upgrading technology, contractual obligations, pricing services, and coding and billing practices.<br /><br />Overall, the webinar aims to educate healthcare professionals on navigating the complexities of managed care and ensuring legal compliance in their practice. It provides a comprehensive guide to help professionals understand and utilize managed care effectively.

Keywords

managed care

healthcare industry

webinar presentation

compliance risk areas

health insurance providers

benefit plan structure

legal compliance

HIPAA

third-party administrators

coding and billing practices