Payment Variance Identification and Resolution (Medi-Cal)

A payment variance happens any time the actual payment from an insurance payer is different from what a healthcare organization expected. Throughout this course we explore how payment variance impacts healthcare organizations, how to identify and resolve payment variance, and other considerations.

  • Define payment variance and name the importance of identifying and resolving payment variance
  • Identify key components of an effective contract management system
  • Name methods for managing and preventing variance
  • Identify typical appeal timeframes and one of the most common issues that causes underpayments
  • Choose what information is required for successful appeals follow-up

Additional Information

Advance Preparation: None

Prerequisites: None

Program level: Basic

Delivery Method: Self-study

CPE Field of Study: Specialized Knowledge


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