Physician Supervision for Provider-Based Clinics

Event Information
Product Format
Prerecorded Event
90 minutes
Product Description

The Latest Changes to CMS’s Physician Supervision Requirements and How You Can Meet Them

Physician supervision is a perennial area of confusion for those who serve Medicare beneficiaries, as both Congress and CMS keep changing the rules. Questions as to whether non-physician practitioners (NPPs) can satisfy the supervisory requirements and whether auditors can go back in time to verify proper physician supervision continue to perplex providers.

Join this informative webinar, where expert Duane Abbey, Ph.D. will provide answers to these important questions and many more concerning physician supervision in provider-based clinics. The specific requirements under the law today, as well as affirmative steps hospitals need to take to ensure compliance will be discussed.

Session Highlights:

  • What are the specific requirements for physician supervision
  • Review of the provider-based rule (PBR) and the physician supervision requirements
  • What the federal government is really demanding as of today
  • Whether physician supervision is solely a Medicare issue, and whether it will ever become a RAC issue
  • Can auditors go back in time to verify proper physician supervision?
  • Additional changes to the rules that are anticipated in the near future
  • Compliance implications for provider-based clinics
  • Operational concerns, including documenting who provides supervision and keeping physician/practitioner logs
  • Affirmative steps that hospitals must take to ensure compliance
  • Case studies involving infusion centers, wound care centers and oncology

Session Agenda:

  • Review of the Provider-Based Rule (PBR)
    • Development of the PBR
    • 42 CFR 413.65 and Related Entries
    • Rules and Regulations
    • Physician Supervision Concerns
  • Compliance Issues for Provider-Based Clinics
    • Meeting Requirements and Conducting Audits
    • Supervision Requirements
    • Location Dependence
  • Physician Supervision Requirements
    • April 7, 2000 Federal Register
    • CY2008 - CY2013 Federal Register Discussions
    • Policy ‘Change’ versus ‘Clarification’
    • New Supervisory Statements from CMS
    • Compliance Concerns in Meeting Supervisory Requirements
    • Specìal Areas – Observation, Infusions, Injections, Radìation Oncology
    • Provider-Based Clinic Challenges
    • Non-Physician Practìtioner Involvement
    • Cardiac and Pulmonary Rehabilitation Requirements
    • Establishing Who Is Providing Supervision
  • Operational Concerns
    • Documenting Who Is Providing Supervision
    • Keeping Physician/Practìtioner Logs
  • RAC Audit Concerns
    • Supervisory Requirements Not Met – Recoup Payment
    • Retroactive Application of Policy Changes
  • Case Studies

Who Should Attend:

  • All personnel involved with provider-based clinics and/or clinical operations
  • Compliance personnel
  • Coding and billing personnel
  • Nursing staff
  • Physicians

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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
More Events By The Speaker

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