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Medicaid Recipient Patient Liability Compliance Management

What You Will Learn

  • Gain a working knowledge on properly applying for patient liability payments against outstanding AR on individual Medicaid recipient accounts.
  • Identify the reasons a patient liability payment would create a credit or debit balance on an account. (PL overage or shortage)
  • Understand the proper handling of credit balances and how and where the refunds should be issued.
  • Obtain tips and resources on how to keep your patient liability aging clean and still remain in compliance with state and federal regulations.

Share this program:

What You Will Learn

  • Gain a working knowledge on properly applying for patient liability payments against outstanding AR on individual Medicaid recipient accounts.
  • Identify the reasons a patient liability payment would create a credit or debit balance on an account. (PL overage or shortage)
  • Understand the proper handling of credit balances and how and where the refunds should be issued.
  • Obtain tips and resources on how to keep your patient liability aging clean and still remain in compliance with state and federal regulations.
Date Published

June 22, 2021

Publisher

Ohio Health Care Association

Subjects

Skilled Nursing

Questions

For immediate assistance please consult our FAQ page. If you're unable to find the answer you need, please call 737-201-2059 (M-F, 8am-6pm CT) or e-mail customer service.

Summary

No matter what state a provider is located in there are regulations and guidelines on how patient liability monies are to be billed, prorated, collected, applied, and refunded. It is vital that the provider’s business office follows regulations and guidelines to ensure compliance and avoid costly penalties, settlements, and legal ramifications.
 
The purpose of this session is to provide participants with the knowledge to properly handle patient liability monies from Medicaid recipients. We discuss compliance in bookkeeping and provide tips on applying monies received from or on behalf of Medicaid recipients, as well as the proper handling of credit balances.

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Presenters

Denise Croft

Denise Croft has nearly 23 years of experience in revenue cycle management in the healthcare environment. Her areas of... Read More

Lauren Gurcze
Senior Consultant - Richter Healthcare Consultants

Lauren Gurcze has over 25 years of experience in the SNF-LTC industry. She has held positions on the provider side in a... Read More

Bobbie Tiedt Donohew


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Program Titles and Supporting Materials

This program contains the following components:

Video Presentation Replay
Slide Deck Copy
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Credit

If applicable, you may obtain credit in multiple jurisdictions simultaneously for this program (see pending/approved list below). If electing credit for this program, registrants in jurisdictions not listed below will receive a Certificate of Completion that may or may not meet credit requirements in other jurisdictions. Where applicable, credit will be only awarded to a paid registrant completing all the requirements of the program as determined by the selected accreditation authority.

Click on jurisdiction for specific details:

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How to Attend

Join the self-paced program from your office, home, or hotel room using a computer and high speed internet connection. You may start and stop the program at your convenience, continue where you left off, and review supporting materials as often as you like. Please note: Internet Explorer is no longer a supported browser. We recommend using Google Chrome, Mozilla Firefox or Safari for best results.

Technical Requirements
You may access this course on a computer or mobile device with high speed internet (iPhones require iOS 10 or higher). Recommended browsers are Google Chrome or Mozilla Firefox.

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