Provider Based Status - What's in Your Compliance Toolkit?

Why Should You Attend:

The provider based rules can be overwhelming for healthcare management who are making efforts to institute or maintain provider based clinics or locations. The Office of Inspector General (OIG) is concerned with the billing process for services in hospital provider based clinics or locations. The provider based rules affect an organization financially and operationally.

An organization’s plans for monitoring and oversight of the provider based locations as evidence of compliance with CMS requirements are often too complex and confusing. The clinical services of an organization delivered in multiple provider-based departments, locations, and facilities have become increasing more cumbersome to operate. There are specific standards that are applicable for on-campus and off-campus locations operating as provider based site. Healthcare professionals should be familiar with how to set up and sustain a provider based clinic or location as an effort to avoid potential fines and penalties due to non-compliance with the regulations.

Attend this 90-minute webinar to learn how to implement a compliance program and process with clear criteria for provider-based status. It will also include key components of an education program which can be utilized for staff and patients as an effort to enhance awareness that the entity is providing integrated services.

Areas Covered in the Webinar:

• A framework of provider based status polices
• Defining the payment and compliance requirements for the provider based rules
• Discuss compliance scenarios to become familiar with the provider based status requirements
• How to develop guidelines for educating and training staff as well as communicating with patients to demonstrate compliance efforts with the regulatory requirements
• Overview of applicable standards for on-campus and off-campus locations
• Review a sample checklist to assist with auditing and monitoring an effective compliance process for provider based status
• Understanding the importance of provider-based rules.

Who Will Benefit:

This webinar will provide valuable assistance to all personnel in medical offices, practice groups, hospitals, academic medical centers, critical access facilities etc. The titles include but are not limited to:

• Business Office Director
• CEO
• CFO
• Chief Medical Officer/Director
• Compliance Professionals
• Healthcare Counsel/Lawyer
• Internal Audit
• Physician Office Manager
• Planning and Business Development

Instructor Profile:

Dr. Nicole Huff, is the Chief Compliance & Privacy Officer for St. Luke’s University Health Network located in Bethlehem, PA. She has almost 20 years of healthcare history driving achievement in the areas of corporate compliance programs, financial accounting, corporate governance, financial statement analysis, and mergers and acquisitions due diligence. Her experience includes but is not limited to managed care, a multi-health system, community hospital, behavioral health, and physician practice management.

She earned a doctor of health administration degree from Central Michigan University. An alumnus of Loyola University of Chicago and University of Dallas, she obtained a BBA in accounting and MBA in healthcare administration, respectively. She is certified Green Belt Six Sigma, Healthcare Compliance, and Health Safety Professional.

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