◂  July 2019

Managed Care * What To Do When You Get a Referral * 2 of 6 part series
7/25/201912pm1pm

Published by: ellyadmin

Venue

Webinar

Contact

Cassi Meritt

Part 2 of 6 (repeat from July 9th)

Description:

The insurance company or hospital has called stating they have a referral for your facility.  This session will cover what steps to go through when you get that referral, both in network and out of network.  The initial assessments will ensure the proper level of care which under some contracts is tied to reimbursement.  Don’t refuse those out of network referral either, there are ways to handle them.

Objectives:

  1. The participant will be able to understand the importance of doing an assessment of every new referral to determine service levels versus accepting the payor’s assigned level.
  2. The participant will understand the importance of confirming the referral’s health plan with the payor to ensure the information from the referral source is correct to avoid claims denials.
  3. The participant will understand to bill for services according to the payors billing policies and procedures and how to get that information.

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