Part 3: The CMS Final Rule was not surprising at all. The Final Rule pulled back the curtain and provided valuable information for providers, and in this workshop, the physician-led experts at Corro Clinical will present how the Final Rule’s clarifications can help you solidify core elements of your payer strategy, contracts, and measures for accountability.
Medicare Advantage
On-Demand: Navigating the Medicare Advantage Final Rule – Part 2
Part 2: Payers have a relentless pursuit of profit margin; meanwhile, most hospitals continue to operate in the red. Medicare Advantage and so-called “frictionless healthcare” are adding to the confusing ways payers behave, muddying the waters and masking denials. So, what can providers do about it? This workshop will present strategies that will help you get your house in order, hold accountabilities, enforce your rights, and escalate payer issues – all with the goal of changing payer behavior. Learn more about payer behaviors today evolving payer behaviors that are on the horizon.
On Demand: Navigating the Medicare Advantage Final Rule – Traditional Medicare rules DO apply (and have always)
Payers have a relentless pursuit of profit margin; meanwhile, most hospitals continue to operate in the red. Medicare Advantage and so-called “frictionless healthcare” are adding to the confusing ways payers behave, muddying the waters and masking denials. So, what can providers do about it? This workshop will present strategies that will help you get your house in order, hold accountabilities, enforce your rights, and escalate payer issues – all with the goal of changing payer behavior. Learn more about payer behaviors today evolving payer behaviors that are on the horizon.
On-Demand: The PHE ends May 11. What do hospitals and providers need to do right now?
We now have an official date: The coronavirus public health emergency (PHE) ends May 11. So what does that mean for the healthcare industry? Hospital staff from the front line to the executive level are encouraged to join this informative workshop with Corro Clinical VP of Regulatory Affairs, Angela Sorbelli to gain a better understanding of what comes next for healthcare when the PHE sunsets.
The Perils of Being ‘Too Big to Fail’ for Healthcare Providers
The Perils of Being...
Appeals
Learn how Versalus Health’s innovative appeal solutions can drive increased revenue for your hospital.
On-Demand: Medicare Advantage Organizations and the Games They Play
Physician Advisors sit at the intersection of clinical decisions, regulatory requirements, managed care contracts and reimbursement. Impacting operational and financial performance requires analytics and tools beyond managing the observation and denial rates. This workshop will help you understand the right analytics to measure to comprehensively assess and impact operational and Medicare Advantage Organization performance.
Prisma Health Recoups $12 Million in Lost Revenue
Prisma Health and Versalus Health team up to streamline Utilization Management During Covid-19 to ensure compliance and recoup $12 Million in lost revenue.
Utilization Management
Hospital utilization...
2022 Medicare Sequestration Considerations
Overview In a late 2021...
Medicare Advantage Plans and the Two-Midnight Rule
Versalus’ Dr. Jerilyn P. Morrissey discusses the Medicare Advantage Plans and the Two-Midnight Rule
Chasing KPI’s: How Department Metrics Undermine Hospitals’ Medicare Advantage Performance
If you follow politics,...
Medicare Advantage: The New RACs
Since the onset of the...