MLR and Hospital vs Outpatient Expenses

Posted on July 25, 2019June 22, 2020 by Jude Pierre

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Medicare Advantage Advanced Course

The Medicare Advantage Advanced Course dives deeper into how different medical facilities and entities affect revenue for the provider, the IPA, and the insurance company. The advanced course also describes patient scenarios related to caring for patients on a Medicare Advantage plan.

Module 1	Hospital/Facility Related Expenses	-
Lesson 1	MLR and Hospital vs Outpatient Expenses
Lesson 2	Survey
Lesson 3	No perfect Answer
Lesson 4	Walk-In Patients
Lesson 5	In-Patient Procedures
Lesson 6	Summary
Module 2	Skilled Nursing Facility Related Expenses	+
Lesson 1	Managing Your Patients
Lesson 2	Case Scenario
Lesson 3	Summary
Module 3	Ambulatory Surgery Center (ASC) Expenses	+
Lesson 1	Definitions
Lesson 2	Case Scenarios
Lesson 3	ASC vs Hospitals
Lesson 4	Trends and Awareness
Lesson 5	Summary
Module 4	Radiology Centers	+
Lesson 1	Radiology Testing
Lesson 2	Payment and Billing
Lesson 3	Radiology Procedures in the Office
Lesson 4	Communicating with Radiologist
Lesson 5	Summary