Transcription of Medicare Advantage Reimbursement Issues - …
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Medicare Advantage Reimbursement Issues - …
Medicare Advantage Reimbursement IssuesPresented by:Jason JohnsonJohn Garcia1 DISCUSSION AGENDA Brief background on Medicare Advantage ( MA ) Enrollment Rates And Trends Regulatory Environment Introduction To Shadow Billing MA Reimbursement Issues IME/GME/NAH hitech SSI/DSH DSH and Bad Debt Deeper Discussion of Shadow Billing Reasons For Slippage Best Practices2MA Enrollment Rates and Trends3 TOTAL MA ENROLLMENT, 1999-20114 CURRENT MA ENROLLMENT BY STATE5MA ENROLLMENT - SOUTHERN CALIFORNIAC ounty NameMedicare Eligible PopulationEnrolled in Medicare AdvantageMA Penetration RateLos Angeles1,126,635247, ,856111, ,90791,293 Bernardino205,71663, Diego380,760 95,159 ,61915,002 : Effective June 2009, Excluding Kaiser and Other Cost Based PlansSource.
DISCUSSION AGENDA • Brief background on Medicare Advantage (“MA”) ˜Enrollment Rates And Trends ˜Regulatory Environment ˜Introduction To Shadow Billing • MA Reimbursement Issues ˜IME/GME/NAH ˜HITECH ˜SSI/DSH ˜DSH and Bad Debt • Deeper Discussion of Shadow Billing ˜Reasons For Slippage ˜Best Practices 2
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