Managed Care, Payor Sources and Medicare Conditions of Participation
15 min! Run Time
Employees
only
Provided
Skills covered in this course
Description
- 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.
Table of Contents
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.
System Requirements
See System Requirements in the Coggno Knowledge Base
Frequently Asked Questions
It is designed for use in Home Health Care Training, giving an overview of managed care, payor sources and Medicare Conditions of Participation.
It covers Health Maintenance Organizations, Preferred Provider Organizations and private insurance alongside federal and state government agencies as payor sources.
Yes, recertification is listed among the Medicare Conditions of Participation topics, alongside basic Medicare criteria and medical equipment and supply rules.
The module distinguishes skilled versus non-skilled services as one of its listed topics, relevant to determining Medicare coverage eligibility.
Yes, place of residence is listed as a covered topic, tied to how Medicare Conditions of Participation apply to home health care delivery.
