Finance & Reimbursement

Webinar

Medicare Designated Provider-Based Clinics and Departments

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The Medicare provider-based service designation allows hospitals and critical access hospitals to obtain provider-based designations for physician practices, certified rural health clinics, cancer centers, behavioral health centers and other outpatient service lines. The provider-based designation in turn results in higher Medicare program reimbursements for services rendered to Medicare patients. In addition, provider-based designation allows services, such as physician practices and cancer centers to participate in the 340B Drug Pricing Program. Subsequent cost saving for pharmaceutical purchases are significant and a robust contract pharmacy program provides additional revenue streams.

The provider-based designation regulations are complex, challenging to implement and maintain compliance.  This course will offer comprehensive understanding of designation compliance, existing provider-based regulatory requirements, operational issues, and reimbursement benefits.

 

2.0
CPE Credit

Learning Objectives:

  • Recognize the reimbursement benefit with provider-based designation
  • Understand the Medicare program regulatory requirements necessary to obtain provider-based designation
  • Review the 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

Presenters

Accreditation:

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

Participants will earn 2.0 CPE credits.

Field of Study: Specialized Knowledge

Prerequisites: None

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

Advanced Preparation: None

Program Level: Basic

Delivery Method: Group Internet Based

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: www.nasbaregistry.org.

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 learning_institute@qhr.com.