Meeting the Physician Supervision Challenge

Event Information
Product Format
Prerecorded Event
Presenter(s)
Length
90 Minutes
Product Description

Wonder why physician supervision has recently become such an issue!! Don’t get hassled, we have simplified it for you!

 

Join, Duane Abbey for this 90-minute look at the critical information concerning physician supervisory changes, and Learn:

  • The specific requirements for physician supervision.
  • Demands of the Medicare program.
  • If you are in mid-level practitioner satisfy the supervisory requirements.
  • Affirmative steps hospitals must take to ensure compliance.
  • Is this solely a Medicare issue?
  • Can auditors go back in time to verify proper physician supervision?
  • What additional changes are anticipated in the near future?


Also:

  • Learn 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 appreciate both the overt and the subtle changes being made by CMS relative to supervisory requirements for hospital-based operations.
  • To understand how the supervision guidance is morphing over time.
  • 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.


Plus:

I.    Review of the Provider-Based Rule (PBR)
        a.    Development of the PBR
        b.    42 CFR §413.65 and Related Entries
        c.    Rules and Regulations
        d.    Physician Supervision Concerns
II.    Compliance Issues for Provider-Based Clinics
        a.    Meeting Requirements and Conducting Audits
        b.    Supervision Requirements
        c.    Location Dependence
             i.    In-Hospital
            ii.    Out-of-Hospital and On-Campus
           iii.    Off-Campus
III.    Physician Supervision Requirements
       a.    April 7, 2000 Federal Register
       b.    CY2008, CY2009, CY2010 and CY2011 Federal Register Discussions
       c.    Policy ‘Change’ versus ‘Clarification’
       d.    New Supervisory Statements from CMS
       e.    Compliance Concerns in Meeting Supervisory Requirements
       f.    Special Areas – Observation, Infusions, Injections, Radiation Oncology
       g.    Provider-Based Clinic Challenges
       h.    Non-Physician Practitioner Involvement
       i.    Cardiac and Pulmonary Rehabilitation Requirements
       j.    Establishing Who Is Providing Supervision
IV.    Operational Concerns
     a.    Documenting Who Is Providing Supervision
     b.    Keeping Physician/Practitioner Logs
V.    RAC Audit Concerns
    a.    Supervisory Requirements Not Met – Recoup Payment
    b.    Retroactive Application of Policy Changes
VI.    Case Studies
    a.    Infusion Centers
    b.    Wound Care Centers
    c.    Radiation Oncology
    d.    Provider-Based Clinics

 
Who should attend? 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.
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Order Below or Call 866-458-2965 Today

You can also order through:
Phone

1-866-458-2965

Fax

1-919-287-2643

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
More Events By The Speaker

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