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

April 10-11, 2019 | 10:30 am - 11:30 am CST

Complying with Medicare Provider Based Regulations allows hospitals and practices to participate in the 340B Pharmaceutical program and obtain higher Medicare and Medicaid reimbursements. But the provider based designation regulations are expansive, complex and challenging to implement.

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. 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.

Provider based designations increases Medicare reimbursements, for physician practices and other outpatient services such as pain management, wound care management, and cancer centers including joint ventures. Medicare and Medicaid reimbursements for Medicare certified Rural Health Clinics are also increased when such are provider based hospitals and even more so when the hospital has less than 50 beds. In addition, entities, practices and other entities with the Medicare provider based designation can participate in the 340B drug acquisition and 340B retail pharmacy programs. These two programs can both bring large cost savings to hospital owned practices and business lines as well as additional revenue stream as well as savings to community.

With the reimbursement and other benefits inherent in the provider based settings, this program is designed to assist hospital personal to stay in compliance with existing provider based departments and practices, and assist with future conversions. An overview of all the reimbursement benefits will also be highlighted, including determining the reimbursement benefit.

Who should attend?

  • C Suite Executives including CEO, CFO, VP Nursing

  • Compliance Officers

  • Revenue Cycle Professionals

  • Controllers and other hospital financial personal including financial analysis

Participants will Learn

  • Recognize the reimbursement benefit with provider- based designation for physician practices, Rural Health Clinics and other hospital outpatient departments
  • Understand Medicare Program Regulatory Requirements that must be met in order to obtain provider based designation
  • Learn of other financial benefits associated with provider based designations


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

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:

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

Presenters for this event:

This event will feature some of the best and brightest we have to offer. Click on a presenter’s name to view their bio:

Vice President, Regulatory & Financial Reporting