I have extensive experience with Medi-Cal regulations, having worked closely with state agencies to ensure compliance. My previous role involved auditing provider claims, interpreting policy changes, and training staff on new guidelines. I am well-versed in the intricacies of the Medi-Cal program, including eligibility requirements, reimbursement rates, and the appeals process.

I stay updated by regularly attending workshops, webinars, and conferences focused on Medi-Cal. I also subscribe to relevant newsletters and participate in professional associations that provide updates on policy changes. Additionally, I maintain a network of contacts within the healthcare industry to share insights and stay informed about any regulatory updates.

One challenging case involved a provider who was denied reimbursement due to a technicality in the billing process. I reviewed the claim and identified the issue, which was a minor coding error. I worked with the provider to correct the error and resubmit the claim, ensuring they received the proper reimbursement. This required detailed communication with the state agency and a thorough understanding of the billing guidelines.

I approach training by first assessing the current knowledge level of the staff. I then develop a tailored training program that includes interactive sessions, case studies, and practical exercises. I ensure that the training is engaging and provides clear, actionable steps for compliance. Feedback is collected throughout the process to make necessary adjustments and reinforce key concepts.

I use a combination of strategies to ensure accurate Medi-Cal billing, including regular audits of claims, cross-referencing with policy manuals, and utilizing billing software that flags potential errors. I also conduct periodic training sessions to keep staff updated on billing requirements and best practices. Additionally, I maintain open lines of communication with billing staff to address any questions or concerns promptly.