Demystifying Hospital Reimbursement

Kate McDonald presented the webinar “Demystifying Hospital Reimbursement”for the American Health Lawyers Association (AHLA).

Part I of this eight-part webinar series discussed hospital income overview: government, private and self-pay; Fee-for-service (FFS) vs. managed care; FFS issues (overutilization, referrals, etc.); Managed care issues (rates, out of network issues, etc.); Medicare Secondary Payer (MSP) and Coordination of Benefits (COB) including discussion re liability insurance and workers compensation; Trends and issues among payers including payment bundling, quality/efficiency metrics, consolidation and market-share leveraging; Non-Governmental Payer dispute resolution — arbitration issues and processes; and Medicare and Medicaid Introduction.