Sentara Health Plan's Tips for Achieving Accurate Reimbursement for ESRD Members

Event Date: 8/10/2021

Event Overview

Tuesday, 8/10/2021
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Sentara Health Plans

Now that individuals with end-stage renal disease (ESRD) can enroll in Medicare Advantage plans, it is critical that your health plan receives accurate reimbursement for both your new and existing members with ESRD. Given that CMS will retroactively reimburse up to six years for your ESRD members, you will want to make sure you are not leaving a single revenue capture opportunity on the table.

Kami Andrews leads Sentara Health Plans’ ESRD program and has developed a robust workflow to ensure Sentara is receiving accurate reimbursement for its ESRD members. Kami will provide an overview of Sentara’s process and tips and best practices she and her team have learned along the way.

Audience

Those with responsibility for risk management, risk adjustment, revenue/financial management and/or medical record reviews.

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Documents

8/17/2021

Recording: Sentara Health Plan's Tips for Achieving Accurate Reimbursement for ESRD Members
Sentara Health Plans shares the workflow developed to ensure they have the revenue they need to care for their ESRD members.

8/9/2021

Presentation: Sentara Health Plan's Tips for Achieving Accurate Reimbursement for ESRD Members
Sentara Health Plans' ESRD program has developed a robust workflow to ensure Sentara is receiving accurate reimbursement for its ESRD members. Kami Andrews provides an overview of Sentara's process and tips and best practices she and her team have learned along the way.