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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 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 necessitates skilled and proficient revenue cycle management to guarantee accurate provider identification, eligibility for provider-based status, and proper reimbursement. 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.
This webinar by 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.
This session aims to provide attendees with a comprehensive understanding of the complex landscape of hospital outpatient billing in a provider-based setting. Participants will gain insights into the nuanced regulatory requirements, particularly focusing on the stringent Medicare rules governing provider-based billing. The session will delve into the critical aspects of revenue cycle management, including accurate provider identification, eligibility for provider-based status, and ensuring proper reimbursement.
Additionally, the session will explore the varying physician supervision requirements based on the type of services provided and the location of the service, offering clarity on general, direct, and personal supervision requirements. By the end of the webinar, participants will be equipped with the knowledge needed to navigate the intricacies of provider-based billing in 2024, ensuring compliance and optimal revenue management.
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
