What should health plans do to remain up to date with continuous regulatory changes and prepare for the future at the same time? 

The COVID-19 pandemic is transforming healthcare across the nation. Social distancing and COVID-19 fears are keeping people from seeking preventative and elective care, resulting in a temporary decrease in traditional health care claims.  At the same time, new regulations from federal and local governments are changing benefit reimbursement for many new types of services, and patients with the COVID-19 virus are being treated in settings never imagined. While enforcement may be staggered, now is the time for health plans to prepare for mandatory reimbursements, data collection changes, and compliance audits. All of this is likely to be followed by a surge in demand for routine and elective medicine once the pandemic subsides; and pending rules such as interoperability continue to loom large as deadlines approach. 

Join HealthEdge’s experts, Maggie Brown, Regulatory Compliance Manager and Dannette Coleman, Chief Solutions and Services Officer, as they present a two-part discussion on regulatory changes and operational impacts related to COVID-19.

Part II

  • How to prepare for the expected backlog of elective and preventative encounters
  • What should the requirements be for internal and external reporting
  • The role of future government audits and how a health plan can get ready

HealthEdge®, provider of the industry’s leading integrated financial, administrative and clinical platform for health insurers, HealthRules Payor®.


Presented by:

Dannette_150x150.png   Dannette Coleman
Chief Solutions and Services Officer
HealthEdge
     
MaggieBrown_150x150.png   Maggie Brown
Regulatory Compliance Manager
HealthEdge
     
HarryMerkin_150x150.png   Harry Merkin
Vice President, Marketing
HealthEdge







Speaker Title

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