Education Track Session

Mastering Medicare Advantage Reimbursement: From Complexity to Consistency

Activity Description : Medicare Advantage continues to introduce significant complexity and variability into home infusion reimbursement, with plan-specific requirements often creating uncertainty across coverage, authorization, billing and payment. This session will clarify how Medicare Advantage differs from traditional Medicare fee-for-service, address common misconceptions and highlight requirements that may be overlooked during the reimbursement process. Speakers will examine frequently encountered challenges and share practical approaches for reducing preventable errors, improving consistency across plans and creating more reliable reimbursement outcomes.

Handouts/Tools:

Activity Description : Medicare Advantage continues to introduce significant complexity and variability into home infusion reimbursement, with plan-specific requirements often creating uncertainty across coverage, authorization, billing and payment. This session will clarify how Medicare Advantage differs from traditional Medicare fee-for-service, address common misconceptions and highlight requirements that may be overlooked during the reimbursement process. Speakers will examine frequently encountered challenges and share practical approaches for reducing preventable errors, improving consistency across plans and creating more reliable reimbursement outcomes.

Handouts/Tools:

Learning Objectives

  • Assess the impact of Medicare Advantage plan variability on reimbursement, operations and patient access.
  • Identify common Medicare Advantage misconceptions, mistakes, and plan-specific requirements that can lead to delays or denials.
  • Apply practical strategies to standardize workflows, reduce administrative burden, and improve reimbursement consistency across Medicare Advantage plans.
  • Speaker(s)

    Brian Carvelli  Director of Pharmacy Operations
    Prochant

    Letitia Price  Training and Quality Manager
    Prochant

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    Speaker
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