Prospective Payment System Reconciliation

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Course Summary

An overview of the HCPF prospective payment system reconciliation process and relevant timelines, including when the reconciliation process applies and for which providers; the fiscal implications; and how providers work with MCEs to minimize potential financial challenges.


Learning Objectives

Upon completing this material, learners will be able to:

  1. Indicate when the reconciliation process applies and for which providers. ​
  2. Describe timelines and key milestones in the reconciliation process. ​
  3. Articulate how the reconciliation process applies and the fiscal implications of the reconciliation process. ​
  4. Identify how providers can work with MCEs to minimize potential financial challenges/risks in future reconciliation processes.

Learning Audience

This asynchronous course is designed for behavioral health providers seeking essential information on attaining and maintaining appropriate licensure and approvals, understanding regulatory requirements, and complying with updated standards in the State of Colorado.


Course Duration

  • 19 minutes

External Content Notice

This learning content is housed and managed outside of the OwnPath Learning Hub system, and is shared in partnership with the Colorado Department of Healthcare Policy and Financing (HCPF).


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