Navigating Medicare Advantage Compliance: Best Practices One Year After the Two-Midnight Rule

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If you experience issues registering for this webinar, please email or call the MGMA Service Center at 877.275.6462, ext. 1888 to register.

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This webinar – scheduled for March 6, 2025, at 1 pm ET (12 pm CT, 11 am MT, 10 am PT) – is eligible for ACMPE, ACHE (live only), CME (live only), CPE (live only), PDC (live only) and CEU credit, and will be made available as a recording.

The 2024 Medicare Advantage final rule introduced significant changes to inpatient coverage, particularly the application of the “two-midnight rule.” Unlike traditional Medicare Part A, Medicare Advantage plans are not required to grant automatic inpatient status approval based on this rule, enabling ongoing audits under provider contracts. One year after implementation, navigating these complexities is more critical than ever for physician practices to maintain compliance and ensure proper reimbursement.

In this discussion, Kyle McElroy from Conifer Health Solutions will share actionable strategies to build effective partnerships with payers through Joint Operating Committee (JOC) meetings, improve Case Management and Utilization Review workflows, and strengthen compliance to minimize denials. This session will also highlight the value of Physician Advisor Programs in bridging clinical care and administrative requirements. Attendees will gain insights into leveraging data-driven techniques to prevent claim denials and craft successful appeal letters, empowering practices to thrive in the evolving Medicare Advantage landscape.

This 60-minute webinar will provide you with the knowledge to:

• Produce effective strategies that strengthen partnerships with managed care organizations and payers, emphasizing the role of Joint Operating Committee (JOC) meetings
• Employ best practices for enhancing Case Management and Utilization Review to ensure compliance with Medicare Advantage requirements and reduce denials
• Use data-driven approaches to identify trends, prevent claim denials, and streamline revenue cycle management

Brought to you by Conifer Health Solutions

Terms of registration: By registering for a complimentary sponsored educational webinar, participants understand that their contact information, excluding phone numbers, will be shared with the specific sponsor. Please reference their website’s privacy policy.

Delivery method: Internet Live Course | Group Internet Based
Learning level: Intermediate - Education that builds on a basic curriculum, designed to improve your ability to analyze and apply skills learned to a topic or knowledge area.
Learning format: Traditional
Prerequisites: A basic understanding of the topic or knowledge area.
Advance preparation: None
Duration: 60 minutes

Claiming Credit: If you wish to claim continuing education credit, you must attend the live webinar and complete the session evaluation in order to meet the requirements of the accrediting organizations.

• ACMPE, medical practice administrators in certification and Fellowship through ACMPE
• ACHE, American College of Healthcare Executives Qualified Education
• CME, licensed physicians (MD/DO)
• CPE, Continuing Professional Education for accountants
  • Attendance at the live instructor-led program  
• CEU, generic continuing education credit
• PDC, professional development credits for the Society for Human Resource Management (SHRM)

For detailed continuing education credit information, click here.

**PLEASE NOTE: CEU credit types and totals are listed as a good faith estimate. Actual CEU types and totals offered at time of presentation may vary. Final CEU credit listing will be published on or before the day of the presentation.

Webinars are delivered live using online web conferencing software, which allows you to interact directly with presenters and colleagues through your web browser. 

This webinar will be hosted in Zoom Webinars and will consist of a 60-minute presentation and question-and-answer session. You will receive informational emails with instructions to access the live event and related resources, as well as steps to claim continuing education credits.   

Review this resource for participating in Zoom Webinars or test your connection here.

This webinar is sponsored by Conifer Health Solutions. There is no registration fee.

Live Instructor Cancellation Policy
If for any reason MGMA must cancel this program, MGMA will notify participants by email of the cancellation no less than 48 hours prior to the expected start time.

Contact the MGMA Service Center for cancellations or refunds:
Toll-free: 877.275.6462, ext. 1888
Email: service@mgma.org

Complaint resolution policy
Please contact the MGMA Service Center toll-free at 877.ASK.MGMA (275.6462) for issues or concerns with this webinar.