Unlike nature that abhors a vacuum, Recovery Audit Contractors (RACs) thrive in the ambiguity created by differing interpretations of policy changes as with the ever-evolving provider-based clinics and their operations. Issues such as what constitutes new service lines and the way in which payment is made for new off-campus clinics are contentious but also, they are hunting grounds for the RACs.
All of these changes must be considered in the larger context of provider-based clinics of all types for future changes that CMS will make. And this webcast —addressing a major compliance issue— offers you and your team an opportunity to make informed operational and financial decisions to keep your facility compliant.
From this exclusive RACmonitor webcast, you will…
- Come to appreciate the policy and operational impacts that are being made through various CMS pronouncements in both the Outpatient Prospective Payment System (OPPS) and the Medicare Physician Fee Schedule (MPFS) in the Federal Registers for 2018.
- Understand the provisions as made by Section 603 of the Bipartisan Budget Act of 2015 (BiBA 2015), the 21st Century Cures Act, and Congressional guidance.
- Learn the process that is being used by CMS to effect payment under the MPFS for provider-based clinics that are not excepted or grandfathered.
- Gain an appreciation of the immediate trends in policy development and the impact that these trends may have for new or non-excepted provider-based clinics and operations.
- Learn how all provider-based clinics, both off and on-campus, will be affected in the future by the decisions being currently made by CMS.
Why is This Webcast Relevant?
CMS has implemented stringent rules surrounding the implementation of Section 603 of BiBA. Congress has provided further legislation through the 21st Century Cures Act along with informal guidance concerning the implementation of these new rules. The payment process for non-excepted provider-based clinics and operations is supposedly under the MPFS. Hospital personnel must carefully follow the development of these rules and associated interpretations in order to properly assess future impact on provider-based clinics.