Managed care admissions can quickly become complex without clear workflows and strong coordination between clinical and operational teams. In this engaging session, skilled nursing leaders will explore a practical playbook for navigating managed care successfully - from authorization to discharge and appeals. Attendees will learn proven strategies to strengthen case management processes, improve communication between nursing and business office teams, and optimize reimbursement outcomes. Walk away with practical tools and five actionable best practices to help your organization improve efficiency, strengthen compliance, and maximize managed care success.
Nurse Learner Outcome: At the conclusion of this presentation 80% of participants will report a knowledge gain of processes needed to improve managed care workflow.
Learner Objectives:
- Attendees will understand the challenges of managed care contracting and learn how to capture maximum reimbursement from health plans.
- Attendees will deep dive with us into operational and financial tactics that help a facility sustain long term success with our managed care population
- Attendees will learn a strategy for business success utilizing smart commonsense approaches to empower your team, energize them with case management best practices and equip a business office to bill and collect each month timely