Physician Supervision For Provider-Based Clinics

Understand the latest CMS rules for provider-based departments and avoid costly mistakes

Hospital outpatient billing in a provider-based setting can be very nuanced and complicated. In provider-based billing, the main provider is the hospital, which in turn is responsible for the ownership and operation of another location to provide additional healthcare services. These hospital outpatient clinics are subject to stricter government regulations because the patients are essentially being treated by the hospital either on campus or off campus. Provider-based billing requires qualified and competent revenue cycle management to ensure that providers are correctly identified and eligible for provider-based status and are also appropriately reimbursed. Provider-based billing models can be tedious and confusing, requiring competent oversight and training to ensure compliance with these stringent Medicare rules. Physician supervision requirements vary depending on the type of services being provided as well as the location of the service.

In this webinar, industry expert Toni Elhoms will discuss the physician supervision requirements for diagnostic services and therapeutic services, the rules for on-campus vs. off-campus departments, as well as the different types of physician supervision – general, direct, and personal required for each setting.

Webinar Objectives

Navigating Medicare compliance for provider-based billing can be challenging due to the intricate and evolving regulations. This session will clarify the detailed physician supervision requirements for both diagnostic and therapeutic services, highlighting the key distinctions between on-campus and off-campus provider-based departments. Attendees will gain the knowledge needed to confidently address the complexities of compliance in these specialized settings.

Webinar Agenda

•  Review of regulatory requirements for provider-based billing status
• Outline different types of physician supervision requirements for provider-based billing
• Discussing physician supervision requirements for diagnostic services in provider-based billing
• Discuss physician supervision requirements for therapeutic services in provider-based billing
• Identify physician supervision requirements for on-campus hospital departments in provider-based billing
• Identify physician supervision requirements for off-campus hospital departments in provider-based billing
• Review common scenarios for each setting type in provider-based billing

Webinar Highlights

•  Understand different types of physician supervision requirements for provider-based billing
• Recalling physician supervision requirements for diagnostic services in provider-based billing
• Recognize physician supervision requirements for therapeutic services in provider-based billing
• Recall physician supervision requirements for on-campus and off-campus hospital departments in provider-based billing
• Recognize common scenarios for each setting type in provider-based billing

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Who Should Attend

Coders, Auditors, Billers, Educators, Consultants, Health Information Management Professionals, Revenue Cycle Management Professionals, Revenue Integrity, Medical Providers of all specialties, Physician Advisers, Compliance Officers/Committees, Medical Practices, Accountable Care Organizations, Medical Societies, Medical Associations