Why do hospitals establish provider-based clinics? Do you know what advantages physicians have for being in a provider-based clinic? Why are there ambiguities in the provider-based rule (PBR)?
Physician supervision recently has become a big issue and the CMS has changed the supervision requirements over the last few years. CMSâs physician supervision requirements under the Provider-Based Rule (42 CFR Â§413.65) continue to be an area of uncertainty and confusion for many Provider-Based Clinics. To make matters worse, the rules differ depending on the type of service (s) provided. Following physician supervision requirements is crucial for compliance and reimbursement. Services not meeting applicable guidelines are considered ânot reasonable and necessary,â and are ineligible for Medicare payments.
Join us for this On-Demand Webinar seriesââPhysician Supervision for Provider-Based Clinics - Basics to Advanceâ on Tuesday, March 22, 2016, where expert speaker Duane C. Abbey, Ph.D., will review the PBR based rule and CMSâ requirements, brief the economic advantages of provider-based clinics, and explain affirmative steps hospitals must take to ensure compliance.
Also, understand the difference between freestanding and provider-based clinics, documentation you need on file to justify proper physician supervision. Find out what additional changes are anticipated in the near future and its compliance implications, and analyze if physician supervision may become an RAC issue in the future.
Get answers to the most pertinent questions in this combined webinar session:
Â Session Highlights:
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....
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