Billing 301: Third Party Audits
Learn the language of third–party payor policies and how to apply this knowledge to your everyday practice.
Volume discounts available when you purchase 10 or more! For more information contact education@opatoday.com.
$160.00
Description
Description:
Learn about the complexities of third-party payor policies and their value in applying quality controls in drug plan management.
Understand how billing and coding errors can trigger an audit, and how to minimize your risk and make responding to audit requests easier for you and your pharmacy team.
Familiarize yourself with the language of third-party payor policies and gain a better understanding of the components of a third-party payor agreement. Case studies are integrated in each module to assist in translating knowledge into practice.
Learning objectives:
- Identify the different components of a third-party provider agreement.
- Recognize reasons for third party payors audits.
- Identify top audit triggers in order to prevent them.
Course outline:
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Module 1:Understanding Third-party Payor Policies and Provider Agreements
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Module 2:How to Prepare for Third-party Audits
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Module 3:Minimizing Risks of Third-party Payor Audits
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Reflective Exercise
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Program Evaluation
Course at a glance:
Who should take this course:
Pharmacy professionals who want to improve their knowledge of third-party audits in their practice.
Development Team:
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