Catalog Number : cra1617
Title : Critical Access Hospitals: Provider-Based Clinics
Speaker : Duane Abbey
Duration : 90 minutes
Webplay Recording Date : 6-9-2011
Webplay Price : $ 200 for two weeks viewing
Webinar Overview:
CAHs are considered to be hospitals within
the provider-based rule (PBR). In this webinar, the overall purpose and function of the
provider-based rule relative to provider-based clinics is addressed as well as critical
information concerning physician supervisory changes. CMS has recently made significant
changes in the interpretation of physician supervision for on-campus (out of hospital)
provider-based operations. Additionally, the overall compliance issues surrounding
provider-based clinics and provider-based status will also be discussed.
Webinar Level: Advanced
Prerequisites for Participating:
- General knowledge of hospitals and various
clinic and/or clinical operations.
Target Audience:
- All personnel involved with provider-based
clinic and/or clinical operations
- compliance personnel
- interested practitioners and physicians are
encouraged to attend
Webinar Objectives:
- To review the Provider-Based Rule (PBR)
- To discuss CAHs involvement under the PBR
- To recognize the advantages of
provider-based clinics
- To review critical physician supervisory
rule changes
- To examine the different areas in which the
PBR applies
- To discuss the attestation and request for
determination processes
- To recognize the need for updating and the
documentation of organizational structuring relative to the PBR
- To explain the review process for assessing
current and/or potential provider-based situations
- To discuss the differences between
hospital-based clinics and Rural Health Clinics (RHCs) in light of the PBR
- To review several case studies
A few of the Topics that will be
covered:
- Review of the Provider-Based Rule (PBR)
- Development of the PBR
- 42 CFR §413.65
- Review of Definitions
- Rules and Regulations
- Involvement of CAHs
- Recognition by Non-Medicare Third-Party
Payers
- Economic Advantages of Provider-Based Status
- Clinics
- Clinical Services
- Provider-Based Clinics vs. RHCs
- Physician Supervisory Requirements
- Recent Changes and Clarifications
- In-Hospital
- On-Campus
- Off-Campus
- Possible Recovery Audit Contractor (RAC)
Issues
- Compliance and Obligations Under PBR
- Meeting All PBR Criteria
- Reporting Requirements
- Attestation versus Determination Process
- Related Issues
- Conditions for Payment
- Conditions of Participation
- Other Third-Party Payer Relations
- Coding and Billing for Provider-Based
Clinics
- Case Studies - Provider-Based Clinics and
RHCs
Attendance Certificate:
Upon attending this course you will receive
a 1.5 Contact Hour Attendance Certificate. There is usually a
reciprocal agreement between state associations to allow these to count for each state. If
you have any questions, please ask your state association.
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
.