Physician Supervision And Auditing Provider-Based Status

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, May 12, 2011
90 Minutes
Product Description

Changes in the supervisory requirements for provider-based operations have created confusion and new compliance challenges 

 CMS has recently made significant changes in the interpretation of physician supervision for on-campus (out of hospital) provider-based operations.

While CMS claims these are not changes, but simply clarification, hospitals must take appropriate action to maintain compliance. Additionally, the overall compliance issues surrounding provider-based status will also be discussed in the context of conducting an audit.

Join Duane Abbey for this 90-minute look at the overall purpose and function of the provider-based rule, as well as critical information concerning physician supervisory changes. 

Take a look at some of the highlights of this session:

  • Review the ins and outs of Provider-Based Rule (PBR).
  • Get the update on critical physician supervisory rule changes
  • The different areas in which the PBR applies
  • The attestation and request for determination processes.
  • Get the scoop on the need for updating and the documentation of organizational structuring relative to the PBR.
  • A full review of the process for assessing current and/or potential provider-based situations.
  • What are the economic benefits versus the compliance requirements.
  • Zoom in on the relationship of PBR relative to the Conditions for Payment, Conditions of Participation and gaining billing privileges.
  • PLUS: Work through several case studies.

Who should attend? CEO, COO, CFO, CMO, CNO, all coding, billing and reimbursement staff, all personnel involved with provider-based clinic and/or clinical operations, and compliance officer.

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....   More Info
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