Catalog Number : cga1947
Title : Properly Documenting Physician Supervision
Speaker : Duane Abbey

Duration : 90 minutes

Webplay Recording Date : 1-26-2015
Webplay Price : $ 125 for two weeks viewing

Webinar Description:

What are the specific requirements for physician supervision? What is the Medicare program really demanding? What kind of documentation should we have on file to justify proper physician supervision? To answer these questions and more please come to this informational Webinar.

Webinar Objectives:

To delineate the various requirements under the Provider-Based Rule (42 CFR §413.65) relating to physician supervision requirements
To discuss the basic operational processes for provider-based clinics and hospital provider-based clinical activities
To understand differing requirements for in-hospital, on-campus and off-campus clinics and hospital operations
To review the supervisory requirements for provider-based services
To understand how the supervision requirements have morphed over the past several years
To appreciate both the overt and the subtle changes being made by CMS relative to supervisory requirements for hospital-based operations
To recognize the need for affirmative documentation to substantiate proper physician supervision
To understand the concept of 'incident-to' for both physicians and hospitals
To discuss the difference between 'clarifying' guidance and 'changed' guidance
Appreciate the steps that must be taken relative to documentation for meeting the supervisory requirements
To discuss possible RAC audit issues for retroactive application
To work through several case studies

Target Audience:

All personnel involved with provider-based clinic and/or clinical operations, compliance personnel, coding and billing personnel, nursing staff and interested physicians are encouraged to attend.

A Few of the Topics that will be covered:

Review of the Provider-Based Rule (PBR)
- Development of the PBR
- 42 CFR §413.65 and Related Entries
- Rules and Regulations
- Physician Supervision Concerns
Compliance Issues for Provider-Based Clinics
- Meeting Requirements and Conducting Audits
- Supervision Requirements
- Location Dependence
  - In-Hospital
  - Out-of-Hospital and On-Campus
  - Off-Campus
- Physician Supervision Requirements
  - April 7, 2000 Federal Register
  - CY2008 - CY2013 Federal Register Discussions
  - Policy 'Change' versus 'Clarification'
  - New Supervisory Statements from CMS
  - Compliance Concerns in Meeting Supervisory Requirements
  - Special Areas – Observation, Infusions, Injections, Radiation Oncology
  - Provider-Based Clinic Challenges
  - Non-Physician Practitioner Involvement
  - Cardiac and Pulmonary Rehabilitation Requirements
  - Establishing Who Is Providing Supervision
- Operational Concerns
  - Documenting Who Is Providing Supervision
  - Keeping Physician/Practitioner Logs
- RAC Audit Concerns
  - Supervisory Requirements Not Met – Recoup Payment
  - Retroactive Application of Policy Changes
- Case Studies
  - Infusion Centers
  - Wound Care Centers
  - Radiation Oncology
- Provider-Based Clinics

Attendance Certificates:

All participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Refund Policy:

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.

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