Medication services continue to transition from inpatient settings to freestanding clinics and doctor practices. Medicare billing and other regulatory constraints however require careful review before an office begins providing infusion or prescription medications to patients. For example, there is often confusion regarding whether Medicare Part B or D will apply when supplying such drugs as oral anti cancer, immunosuppressive or infused medications. With respect to commercial plans, providers often face patient drug plans requiring an understanding of when in office medications will be covered as a medical service.
Additionally, other legal constraints, such as fraud and abuse and Stark self referral laws, come into play. For example, sharing infusion clinic facilities among providers may be problematic. Fair market compensation and other issues must be addressed in contracts with pharmacy consultants. Patient out-of-pocket discounts and charity care for expensive medications also raise regulatory concerns.
Join this 60-minute audio conference, presented by our expert speaker Wayne J. Miller, Esq. This presentation will detail possible legal structures for in-office or clinic based medication programs. It will address when Part B billing is appropriate and also talk about standards to lessen potential fraud and abuse and Stark law concerns when entering pharmacy transactions and in payment issues involving patients.
In this informative session, you will learn exactly what the experts recommend when it comes to billing of in-office drug therapy. Get the inside scoop on one of the most important decisions your in-office business could make this year.
The presentation will include the following topics:
Who should attend? Hospitals, Physicians, Practice Managers, Medical Groups, Health Care Consultants, Medical Practice and Facility Executives
Wayne J. Miller, Esq., is a founding partner of the Compliance Law Group, Los Angeles, a law firm focused on health care industry legal compliance for clients nationwide. Wayne has practiced healthcare business and regulatory law throughout his 30-year career. His firm represents a wide range of healthcare industry clients throughout the nation. He is a frequent speaker for The Coding Institute national teleconferences on healthcare reimbursement, transactional and regulatory...
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