PPOs: The Ins and Outs

Last updated: May 25, 2022
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Navigating PPOs can be challenging, to say the least. We will discuss key points of PPOs and how to administer PPO claims. A few of those key points are fee capping of non-covered services, optional services, when to submit claims (prep or seat), and much more! Q&A session at the end of the presentation.

Learning Objectives:

Distinguish PPO contract basics 

Understanding Processing Policy Manuals and its common provisions

Gain a clear understanding of how to determine when you can charge your full fee for a non-covered service