This interactive lecture provides knowledge, essential tools, best practices and key steps to implement immediately for managed care success. Knowledge of the nuts and bolts of preparing for and working with managed care daily will be given through this deep dive along with system development encompassing contracting, case management and billing. Attendees will leave with tips, tricks and techniques to navigate the many nuances of managed care and how that equates to operational and financial success.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain of the how to manage Managed Care contracts and maximize the reimbursements available on the post session evaluation.

Learner Objectives:

1.     Describe what aspects of managed care contracts are not being maximized for full reimbursements.
2.     Identify where we stand on a managed care proficiency scale defined by best practices.
3.     Analyze what we are being paid for and if the levels listed are appropriate for our services.
4.     Develop a managed care strategy and game plan to ensure we are not leaking managed care revenue.