Complying with Medicare Provider-Based Regulations allows hospitals and practices to participate in the 340B Pharmaceutical program and obtain higher Medicare and Medicaid reimbursements. Provider-based designations increase Medicare reimbursements for physician practices and other outpatient services, such as pain management, wound care management, and cancer centers including joint ventures. However, the provider-based designation regulations are expansive, complex and challenging to implement.
In addition to the regulatory complexity, CMS has been implementing site-neutral payment policies for off-campus provider-based practices; as well as challenging some hospitals’ provider-based designations. With the reimbursement and other benefits inherent in the provider-based settings, this program is designed to assist hospital personnel to stay in compliance with the existing provider-based departments and practices, and assist with filing for and obtaining provider-based designation for new or existing services.
This webinar will detail underlying regulatory requirements for a facility to be deemed a provider-based department, or entity of a hospital or critical access hospital. An overview of the reimbursement benefits will also be highlighted and summarized; as provider-based designations affect hospital reimbursements in many different areas.
Presenters for this event:
- Recognize the reimbursement benefit with provider-based designation for physician practices, Rural Health Clinics, hospital outpatient departments, joint ventures, and other product lines.
- Understand Medicare Program Regulatory Requirements that must be met in order to obtain provider-based designation
- 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
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
Who Should Attend: C Suite Executives including CEO, CFO, VP Nursing
Revenue Cycle Professionals
Controllers and other hospital financial personnel including financial analysis
Advanced Preparation: None
Program Level: Basic
Delivery Method: Group Internet Based
Quorum 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.
For information regarding refunds, program cancellation policies and/or concerns please contact our client support team at 615-371-7979 or firstname.lastname@example.org.
Don't Miss Out on Our Upcoming Education
Subscribe now to our QHR Learning Institute updates to get more information about our upcoming boot camps and webinars!