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Introduction to Managed Care
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Introduction to Managed Care
by Kate Hesston, BSN, MA
PR0838
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about introduction to managed care. After studying the information presented here, you will be able to -
- Be able to discuss the origins of managed care
- Develop a knowledge of the vocabulary and definitions used in managed care
- Be able to discuss the workings of managed care
- Understand the types of managed care plans
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Claims and Finances
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Managed Care Claims and Finances
by Kate Hesston, BSN, MA
PR0848
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care claims and finances. After studying the information presented here, you will be able to -
- Be able to discuss the relationship between claims personnel, case managers and managed care
- Know the potential concerns in the areas of costs and finances
- Be able to discuss the issues of costs in managed care
- Know principles of finances in managed care
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Collaborative Care and Case Management
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Managed Care Collaborative Care and Case Management
by Kate Hesston, BSN, MA
PR0842
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care collaborative care and case management. After studying the information presented here, you will be able to -
- Be able to discuss collaborative care
- Develop a working knowledge of the vocabulary and definitions used in case management
- Be able to discuss the case management tools
- Develop a working knowledge of consultation in case management and managed care
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Disease Management and Education
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Managed Care Disease Management and Education
by Kate Hesston, BSN, MA
PR0850
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care disease management and education. After studying the information presented here, you will be able to -
- Be able to discuss aspects of pathophysiological conditions in disease management
- Be able to discuss aspects of psychosocial conditions in disease management
- Know the aspects of education and referrals relevant to case management and managed care
- Be able to discuss the key professionals used for consultation in case management and managed care
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Erisa‚ Regulations and Legal Aspects
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Managed Care Erisa‚ Regulations and Legal Aspects
by Kate Hesston, BSN, MA
PR0849
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care erisa, regulations, and legal aspects. After studying the information presented here, you will be able to -
- Be able to discuss managed care organizations and their regulation
- Develop a working knowledge of the vocabulary and definitions used in managed care organization regulation
- Be able to discuss the managed care models
- Develop a working knowledge of types of managed care plans
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Ethics and Processes
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Managed Care Ethics and Processes
by Kate Hesston, BSN, MA
PR0845
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care ethics and processes. After studying the information presented here, you will be able to -
- Be able to discuss the alternatives when ethics and conflicts arise in managed care
- Know the potential concerns in the area of ethics and morality
- Be able to discuss the issues of ethics in managed care
- Know principles of ethics in managed care
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Information and Data
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Managed Care Information and Data
by Kate Hesston, BSN, MA
PR0844
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care information and data. After studying the information presented here, you will be able to -
- Be able to discuss managed care information
- Develop a working knowledge of the vocabulary and definitions used in managed care benefits
- Be able to discuss coordination of benefits
- Develop a working knowledge of types of data used managed care
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Medicare and Medicaid
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Managed Care Medicare and Medicaid
by Kate Hesston, BSN, MA
PR0861
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care medicare and medicaid. After studying the information presented here, you will be able to -
- Be able to discuss Medicare and Medicaid
- Develop a working knowledge of the vocabulary and definitions used in Medicare and Medicaid
- Be able to discuss reimbursement tools like DRGs
- Develop a working knowledge of the bills and laws that brought about these programs
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Organizations
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Managed Care Organizations
by Kate Hesston, BSN, MA
PR0840
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care organizations. After studying the information presented here, you will be able to -
- Discuss managed care organizations
- Develop a working knowledge of the vocabulary and definitions used in managed care organization
- Be able to discuss the managed care models
- Develop a working knowledge of types of managed care plans
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Principles‚ Finance and Budgets
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Managed Care Principles‚ Finance and Budgets
by Kate Hesston, BSN, MA
PR0841
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care principles, finance, and budgets. After studying the information presented here, you will be able to -
- Be able to discuss managed care principles
- Develop a working knowledge of the vocabulary and definitions used in managed care budgets
- Be able to discuss managed care pricing
- Develop a working knowledge the elements of a balance sheet
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Quality
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Managed Care Quality
by Kate Hesston, BSN, MA
PR0847
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care quality. After studying the information presented here, you will be able to -
- Be able to discuss quality care
- Develop a working knowledge of the vocabulary and definitions used in managed care quality
- Be able to discuss the managed care standards
- Develop a working knowledge of types of managed care quality provisions
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Reimbursement and Underwriting
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Managed Care Reimbursement and Underwriting
by Kate Hesston, BSN, MA
PR0846
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care reimbursement and underwriting. After studying the information presented here, you will be able to -
- Be able to discuss managed care reimbursement
- Develop a working knowledge of the vocabulary and definitions used in managed care reimbursement
- Be able to discuss managed care contracts
- Develop a working knowledge of types of managed care contract provisions
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Terms and Acronyms
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Managed Care Terms and Acronyms
by Kate Hesston, BSN, MA
PR0839
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care terms and acronyms. After studying the information presented here, you will be able to -
- Be able to discuss managed care terms
- Develop a working knowledge of the acronyms used in managed care organizations
- Discuss the managed care benefits
- Develop a working knowledge of types of managed care plans
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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Managed Care Utilization and Authorization
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Managed Care Utilization and Authorization
by Kate Hesston, BSN, MA
PR0843
| 1.00 hr
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Objectives:
The purpose of this program is to educate the learner about managed care utiliztion and authorization. After studying the information presented here, you will be able to -
- Be able to discuss utilization management within managed care
- Develop a working knowledge of the vocabulary and definitions used in managed care UM
- Be able to discuss the managed care UM models
- Develop a working knowledge of types of UM reviews used in managed care
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Gain unlimited access to all PearlsReview
test preparation courses and certification exams for just $69 for 12 months full
access.
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