Catalog Number : cra1794
Title : Critical Access Hospitals and Provider-Based Clinics
Speaker : Duane Abbey

Webplay Recording Date : 5-22-2012
Webplay Price : $ 200 for two weeks viewing

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:

• Recall the Provider-Based Rule (PBR) and understand the CAH involvement
• Identify the advantages of provider-based clinics
• Discuss the different areas in which the PBR applies
• Recognize the need for updating and documenting the organizational structuring relative to the PBR
• Recognize the review process for assessing current and/or potential provider-based situations

The following are a few of the topics to be discussed:

• 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
  • Provider-Based Ambulance Services
  • 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

Webinar Level: Intermediate

Contact Hours:

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.

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.