Medicare Advantage: Provider Compliance

<p>This course reviews requirements every provider must adhere to, including specific rights and responsibilities, and elements contained in their contract with the Medicare Advantage Organizations. Topics in this course include: Regulatory Requirements and Contract Provisions, Beneficiary Access to Care, Beneficiary Protections, Payment and Government Funds, Compliance Program, and Provider Rights. After completing this course, learners will be able to recognize the responsibilities of providers who contract with Medicare Advantage Organizations in order to be compliant with CMS’ regulatory requirements.</p>

After this course learners will be able to identify the responsibilities of providers who contract with medicare advantage organizations (maos) to deliver healthcare services to medicare beneficiaries. recognize the regulatory requirements for providers and administrative services organizations who contract with maos. identify the rights of a contracted provider or administrative services organization.