Been experiencing bad Managed Care Organization (MCO) behavior with no end in sight? Learn how providers can effectively put a stop to it without jeopardizing referrals.

Understanding how Managed Care Organizations (MCOs) are overseen by CMS and States, i.e., why and how they can be cited & sanctioned by each agency, gives providers a road map to remedying MCO bad behavior and protecting their revenue. Additionally, we’ll a take a close look at negotiating new MCO Provider agreements. Before entering a new MCO provider agreement, learn which provisions MCOs rely on to avoid paying every claim, recoup alleged overpayments without a hearing, pass on rate decreases without notice, etc. Knowing these provisions and pushing back before signing off will increase revenue and decrease-write offs.

*This program has been approved by NAB/NCERS for 2 Continuing Education Credits.

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Interested in setting up a private Medicaid/Medicare eligibility & reimbursement training for your organization? Contact: