Medicare Advantage Coverage Denials: SNF Strategies and Considerations
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Medicare Advantage organizations (MAOs) frequently use utilization management to limit their obligations to pay for patient care. In this webinar, attorneys from Hooper, Lundy & Bookman will review regulatory limits on these activities, focusing on new and clarified requirements for 2024. Attendees will receive a checklist tool that summarizes these limitations and can be used as a reference guide to identify options and potential next steps when coverage is denied.
Learning objectives:
- Understand federal regulations governing prior authorization and other utilization management activities in Medicare Advantage
- Identify Medicare coverage criteria that must be applied and new limits on Medicare Advantage organizations’ internal coverage criteria
- Navigate practical considerations when deciding whether or how to challenge a Medicare Advantage organization’s coverage denial
Registration is free to AHCA/NCAL members.
If you are not able to attend live, the recording will be provided to you. A certificate of attendance will be available after webinar.
Follow the Instructions Below to Register:
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- Members will need to log in using their existing email and password first.
- Once you are logged in to the website you will be able to register by clicking the green register button at the top of the page.
- If you have forgotten your password click here.
- If you are new to the site, you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register.
Email educate@ahca.org if you need assistance.
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