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PRESENTER:  Joseph L. Romano, Esquire 
SUBJECT:  Keynote Presentation
WHEN:   Wednesday, April 14, 1999 - 11:00 AM
WHERE:  Atlantic City, New Jersey

  1. What is managed care? Is it managed care or managed money?

  2. The role of managed care in allocating health resources

  3. Special Education Benefits: "A Powerful Weapon in Pediatric Brain Damage Cases"

  4. Obtaining the insurance contract/insurance policy to define the health insurance benefits available in a managed care setting in an acute-care hospital

  5. How do osteopathic physicians, office personnel, patients, and health care providers obtain the information to define health insurance benefits available in a managed care setting? 

  6. Contractual roadblocks erected by managed care health insurers to deny or limit coverage for your patients
    1. Exclusions - "we will not pay if..."
    2. Limitations
    3. Definitions (medical necessity, custodial care, etc.)
    4. Experimental limitations

  7. Managed Care: The precertification process - what you want, they won't pay for

 

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