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When:
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Saturday, 9/23/00, 1:00 pm - 5:00 pm
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Title:
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Advanced Pathways Contract Management Reimbursement Rules
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Description:
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Using a combination of theory and practical classroom techniques, participants will learn advanced techniques for utilizing the reimbursement rules included in Pathways Contract Management Enterprise Release 5.0 and Enterprise Release 6.0. This class will not duplicate the material covered in “Mastering Pathways Contract Management Enterprise Release 6.0”. It is highly recommended (although not a prerequisite) that users attend the “Mastering Pathways Contract Management Enterprise Release 6.0” for an orientation to Enterprise Release 6.0 and preparation discussions before selecting this class.
Important: Submit your own reimbursement rules in advance of the class, and the instructor will select a few examples as the basis for instruction. Here’s your chance to have your most complex contract rules defined!
Topics covered:
- Overview of Reimbursement Rules
- Selecting Rules
- Understanding payor specific rules in Enterprise Release 5.0 (including DRG, ASC and CPT based rules)
- Understanding payor specific rules in Enterprise Release 6.0 including local and state payor requirements such as Pennsylvania BCBS (inpatient), Texas Medicaid (inpatient) and South Carolina BCBS (inpatient)
- Payor “Cheat Sheet” distributed
- How to write Rule Requests
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Instructor(s):
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Wanda A. Howard, McKessonHBOC
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Target Audience:
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Existing users of Pathways Contract Management. Session assumes attendees are trained in application navigation, fields and definitions and has familiarity with building of hospital contracts and testing reimbursement.
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Fee:
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$450.00
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Room Name:
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C-106-B
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