tci Medicare Compliance & Reimbursement - 2024 Issue Q1

Medicare Advantage: Bolster Managed Care Smarts With This Insight

Caution: Fix MA faux pas before OIG intervenes. With managed care on the HHS Office of Inspector General’s (OIG’s) watch list, your practice should prioritize educating staff on the ins and outs of Medicare Part C. Keep reading for expert tips on establishing and maintaining a robust managed care program, including what questions you need to answer when you’re evaluating your organization’s situation. What’s Managed Care, Anyway? Managed care is a health insurance plan that tries to mediate costs and boost quality by having plan members agree to see only particular practitioners in specific...

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