One of most critical financial issues of the PP-ACA and contemporary healthcare and medical reimbursement is known as Incurred But Not Reported (IBNR) healthcare claims. IBNR claims are an indirect result of prospective payments systems, the insurance industry and commercial risk contracts, and to some extent fee-for-service medicine. IBNR claims represent a risk and an opportunity for managed care companies, healthcare organizations, clinics, physicians and related medical providers alike.
Join this enlightening event presented by expert speaker Dr. David Edward Marcinko MBA CMP™who will provide you detailed insights on IBNR claims so that you do not face any compliance risk and optimize your organization's bottom line
Here is a brief sample of some details you may learn:
1. IRS Rules and Regulations
2. IBNR Tax Qualifications for Managed Care Organizations
3. How Managed Care Organizations Intensify IBNRs
4. How Does IBNR Affect Net Present Value?
1. Tax and Court Penalties
a. IRC Section 4958
b. Excess Benefit Definition
c. Taxes under Section 4958
2. Tax Deductibility
1. Actuarial Data Analysis
2. Open Referral Analysis
3. Historic Cost Analysis
Who should attend? All charge-master coordinators, coding personnel, billing and claims transaction personnel, internal auditing personnel; and financial and compliance personnel! And, all administrators, accountants, comptrollers, office managers, billing clerks and physician-executives, CFOs, CXOs and other interested parties.
- Thomas J. Force
Dr. David Edward Marcinko MBA CMP™ is founding CEO of the Institute of Medical Business Advisors. iMBA Inc is a leading national scope provider of real time medical practice management reports, books, dictionaries, journals, financial planning and advisory opinions, Fair Market Value appraisals and educational seminars. The firm serves physicians, nurses and medical societies; financial advisors, wealth managers and CPAs; emerging healthcare entities, hospitals, clinics, IPAs and their CXOs; the...
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