payor
The person, agency, or organization that assumes responsibility for reimbursing providers for the health and human services and resources consumed by a client, e.g., the Centers for Medicare & Medicaid Services (CMS), managed care organizations/health insurance plans, and TriCare.
- Ethical, Legal and Practice Standards
- Ethical Standards for Case Management Practice – Part I: Review of the CCMC Code of Professional Conduct for Case Managers
- Ethical Standards for Case Management Practice-Part II: Practice Considerations for the CCMC Standards for Professional Conduct
- Legal Issues and Professional Case Management
- Legal Issues Related to Case Management
- Ethical Standards Related to Case Management
- Care Delivery and Reimbursement Methods
- Case Management Concepts
- Case Management Administration and Leadership
- Healthcare Management and Delivery
- Healthcare Reimbursement
- Funding Systems and Payor Sources
- Principles of Practice
- Care Coordination
- Transitions of Care
- Communication Skills of the Case Manager
- Wholistic Case Management
- Motivational Interviewing
- Case Management Programs and Models
- Utilization Management
- Case Management and Processes of Care