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 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, our expert speaker 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

Medicare rules for provider- based billing compliance is quite complex to navigate.  There are very specific physician oversight and supervision requirements for diagnostic services and therapeutic services, many nuances for on-campus vs. off-campus supervision requirements, etc.

Webinar Agenda

• Review regulatory requirements for provider-based billing status in 2024
• Outline different types of physician supervision requirements for provider-based billing in 2024
• Discuss physician supervision requirements for diagnostic and therapeutic services in provider-based billing in 2024
• Identify physician supervision requirements for both on-campus and off campus hospital departments in provider-based billing in 2024
• Review common scenarios for each setting type in provider-based billing in 2024

Webinar Highlights

• Understand different types of physician supervision requirements for provider-based billing in 2024
• Recall physician supervision requirements for diagnostic services in provider-based billing in 2024
• Recognize physician supervision requirements for therapeutic services in provider-based billing in 2024
• Recall physician supervision requirements for on-campus and off-campus hospital departments in provider-based billing in 2024
• Recognize common scenarios for each setting type in provider-based billing in 2024

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