Ensure Medicare Advantage compliance with these expert tips to protect practice revenue
Complying with Medicare Advantage plans can be extremely confusing, frustrating and operationally-tasking. From a myriad of coverage discrepancies, added regulations and billing and coverage rules, to enrollment and pre-authorization hoops to jump through — it’s enough to make your head spin. If your practice isn’t up to speed, it will suffer increased denials and plummeting reimbursement.
And there’s no signs of slowing down
The number and share of Medicare beneficiaries enrolled in Medicare Advantage has continued to climb over the past decade, with 31% — or 17.6 million beneficiaries — enrolled in 2016*!
Clear up the confusion now before your challenges snowball into operational and reimbursement nightmares. Join Daphne K. Saneholtz, Esq. as she extracts the biggest challenges you face with guidance on how to adjust your practices to comply with all the nuances of these complex plans.
Sign up for expert instruction to:
- Analyze the most common Medicare Advantage challenges affecting medical practices with tips on how to manage them including: HINT — Most require fast action to avoid increased risk!
- Unexpected denials
- Patient confusion
- Benefits coverage
- Prior authorization
- Prescription drugs
- Effectively adjust your A/R function and billing practices to avoid claims denials. HINT — check the fine print in your contracts!
- Explore your patients’ concerns about MA plans and their plan options to boost understanding and ease confusion. HINT — It’s all about relationship building!
Whether you only have a few Medicare Advantage patients or many, the trend line proves that there are more on the way. Learn how to comply with these plans before it’s too late!