Managed Care Contracting and Reimbursement (Medicaid)

Managed care contracts are agreements between insurance and healthcare providers to define how services are to be provided and reimbursed. In this course, we will discuss how managed care contracts are negotiated, how they are reimbursement, as well as any associated challenges.

  • Define the importance of managed care contract agreements and how to negotiate contracts
  • Identify the issues that impact managed care contracts
  • Identify how physicians are paid under the Resource-Based Relative Value Scale
  • Name methods of collecting reimbursement

Additional Information

Advance Preparation: None

Prerequisites: None

Program level: Basic

Delivery Method: Self-study

CPE Field of Study: Specialized Knowledge


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