Tammy Davis and Tina Simmons from ECS Solutions, a division of HW&Co., will provide some insights on dealing with Managed Care reimbursements.

• Staying up to date with Beneficiary Notices
• Managing Medicare as a Secondary Payer
• Compliant Billing with Medicare Informational Claims
• Where we are with the Targeted Probe and Educate (TPE) Audit and other audit news.
• Managed Care Tips – New CMS Mandates for managed care plans & Other managed care news

HCAM VP Reimbursement Mike Batts will provide updates on the following:

• Occupancy – National and State
• Enrollment – MHL, PACE, MI Choice, Medicare Advantage
• Budget FY 2024 Process and Status
• Pending Legislation – Med Tech, Agency Staffing, and more
• CMS PDPM Rule
• MHL Transition to HIDE
• New Reimbursement System for Medicaid

MDHHS staff will join us to discuss top Medicaid and MI Health Link issues including:

• Billing Issues/Top Billing Errors
• LOCD and Redeterminations
• Eligibility
• Bed Options – Medicare only, Licensed, NABP
• MHL – QAS ICO
• Special Needs Plans - Michigan
• Third Party Liability Update

Sharon Hamilton Griffin from Aetna Better Health will provide a health plan overview.

Alli Leas from Meridian/Centene will provide a health plan overview.