Medicare Designated Provider-Based Clinics and Departments – 2-Part Series

*Part of the Healthcare Providers Reimbursement Series

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The Medicare provider-based service designation allows hospitals, physician practices, and other care centers, including Critical Access Hospitals, to obtain higher Medicare and Medicaid reimbursements and participate in the 340B Drug Pricing Program. Costs of pharmaceutical purchases are significant and operating a robust contract pharmacy program under the 340B allows for additional revenues stream for non-for-profit systems.

The provider-based designation regulations are complex, challenging to implement and maintain compliance, however. CMS has challenged and recently increased scrutiny over some provider-based designated determinations. This course will offer comprehensive understanding of designation compliance, existing provider-based regulatory requirements, complex operational issues, and reimbursement benefits.


QHR Health Learning Institute (QLI) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:


In order to be awarded the full credits, you must respond to the three polling questions asked during each program and complete the evaluation.

Participants will earn 1.0 CPE credit per session
Field of Study: Specialized Knowledge
Prerequisites: None
Advanced Preparation: None
Program Level: Basic
Delivery Method: Group Internet Based

Who Should Attend: C Suite Executives including CEO, CFO, VP Nursing, Compliance Officers, Revenue Cycle Professionals, Controllers and other hospital financial personnel including financial analysis


Learning Objectives

  • Recognize the reimbursement benefit with provider-based designation
  • Understand Medicare program regulatory requirements to obtain provider-based designation
  • Review more challenging aspects of complying with provider-based regulations
  • Learn additional financial benefits associated with provider-based designations

Who Should Attend

  • C Suite Executives including CEO, CFO, VP Nursing
  • Compliance Officers
  • Revenue Cycle Professionals
  • Controllers and other hospital financial personnel including financial analysis

QLI may cancel or reschedule a live webinar program at its discretion due to unforeseen circumstances. We will use reasonable efforts to notify registrants of the cancellation at least two weeks (10 business days) in advance of the original live webinar program.

If QLI cancels a live webinar program, refunds of the webinar registration fee will not be given. However, all current registrants at time of cancellation will obtain a credit to be applied to a future live webinar program of their choice.

Complaint Resolution:
For information regarding refunds, program cancellation policies and/or concerns please contact our client support team at 615-371-7979 or