New changes to rules regarding compliance and reimbursement for provider-based clinics could impact on your organization if your facility currently operates one or more of these off-campus facilities.
Your facility could also face serious compliance issues while leaving money on the table if you and your team are not aware of compliance issues regarding provider-based clinics. That is why this exclusive RACmonitor webcast led by author, educator and consultant Duane Abbey, PhD is essential. From this webcast, you will learn how to stay within compliance guidelines for all types of provider-based clinics thus avoiding any compliance recoupments. Plus, you will know how to plan properly for the development of a provider-based clinic and for the financial impact from the reimbursement changes that are taking place.
Dr. Abbey will walk you through the essential issues including how new or non-exempted, off-campus clinics will be affected by the Bipartisan Budget Act of 2015 (BiBA 2015), Section 603, the 21st Century Cures Act and BiBA 2018. CMS is implementing very stringent interpretations of Section 603 although Congress has informally suggested a liberal approach.
Failure to fully grasp where provider-based clinics are going in terms of reimbursement and the changes that are taking place for off-campus excepted clinics in terms of payment will result in being a target for auditing the loss of potential reimbursement.
Issues such as what constitutes new service lines and the way in which payment is made for new off-campus clinics are contentious. But your facility must consider all of these changes in the larger context of provider-based clinics of all types for future changes that CMS will make.
Why This is Relevant:
CMS has implemented stringent rules surrounding the implementation of Section 603 of the Bipartisan Budget Act of 2015 (BiBA 2015). One of the issues is that of new service lines for excepted off-campus provider-based clinics. Additionally, the payment process for non-excepted provider-based clinics and operations is supposedly under the Medicare Physician Fee Schedule (MPFS). Continuing interpretation of the rules is taking place and will probably continue on into future years. Hospital personnel must carefully follow the development of these rules and associated interpretations in order to properly assess future impact on provider-based clinics.
During this exclusive RACmonitor webcast with Dr. Abbey, you will…
- Learn the policy and operational impacts that are being made through various CMS pronouncements in both the OPPS and MPFS final Federal Registers for CY2019.
- Understand the provisions as made by Section 603 of BiBA 2015, the 21st Century Cures Act, BiBA 2018, 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 understanding about the immediate trends in policy development and the impact that these trends may have for new or non-excepted provider-based clinics and operations including the service line issue for currently excepted off-campus provider-based clinics.
- 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.