Incident-to Challenges for Provider-Based Facilities
Strategies to Ensure Compliance
Product Description:
Audio Conference on CD or Audio On-Demand
Sponsored by Healthcare Audit Resource Center and Strategies for Healthcare Compliance
presented on April 8, 2009
PROBLEM
CMS' recent changes to "incident-to" requirements affect Medicare's coverage of services provided in some hospital outpatient departments. The changes tighten physician supervision requirements for these services. Your facility needs a process in place to ensure compliance with the more stringent standards.
SOLUTION
Discover what changes your facility should make to comply with the new incident-to requirements. You will receive valuable resources to help clarify the new rules, including a transcript of the incident-to discussion held during CMS’ January 2009 Hospital Open Door Forum.
LEARN FROM US
HCPro provides a 90-minute audio conference, Incident-to Challenges for Provider-Based Facilities: Strategies to Ensure Complianc), featuring speakers Kimberly Anderwood Hoy, JD, CPC, (HCPro) and Bret S. Bissey, FACHE, MBA (IMA Consulting).
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:
- Better understand "incident-to"
- Identify a "provider-based" department based on the regulatory guidance
- Determine the level of supervision required in a provider-based department
- Identify the requirements for a hospital outpatient department service to be covered incident to a physician's service
- Analyze the impact of recent changes on nurse practitioner–staffed clinics and recognize other issues with non-physician practitioners
- Assess compliance with regulations by implementing a robust auditing program
TAKE A LOOK AT THE AGENDA:
- Clarifications of recent CMS decisions on "incident-to"
- What is a provider-based department?
- Recent changes to coverage of hospital outpatient visits covered under the provision
- Differences between "incident-to" in the physician office and in the hospital setting
- Change to the level of supervision for on-campus provider-based departments
- CMS' definition of "on the premises" for the purposes of determining supervision requirements
- Developing an audit plan to assess compliance
- Relevancy of auditing to your institution's compliance program
- How to structure your audits
- Case studies
- Rules application
- Auditing strategy
- A question and answer session follows the presentation
BONUS TOOLS
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and:
- New manual section on "incident-to" coverage
- Federal Register notices from the 2009 proposed and final OPPS rules, discussing physician supervision
- Transcript of January Hospital Open Door Forum discussion of physician supervision and provider-based departments
- Transcript of February Hospital Open Door Forum discussion of physician supervision and provider-based departments
These materials are provided with PDF links.
MEET THE SPEAKERS
Kimberly Anderwood Hoy, JD, CPC, director of Medicare and compliance, HCPro, Inc. (Marblehead, MA). In addition to her regular duties at HCPro, Hoy serves as a consultant for its Revenue Cycle Institute. She is also the lead instructor for HCPro's Medicare Boot Camp® - Hospital Version. Hoy has served as a compliance officer and in-house legal counsel for hospitals and has developed and implemented corporate-wide compliance programs for two hospitals. She also speaks at national conferences in the areas of observation services and patient status.
Bret S. Bissey, FACHE, MBA, director, regulatory compliance practice, IMA Consulting (Chadds Ford, PA). Bissey has more than 25 years of diversified health care management, operations and compliance experience. He is a nationally recognized expert in healthcare compliance and has presented at over 40 regional and national industry conferences and meetings on numerous compliance topics. He is also the author of the first edition of the Compliance Officer's Handbook, published by HCPro.
WHO SHOULD LISTEN?
Professionals in a hospital setting as well as a provider-based facility, including the following titles and job descriptions:
- Compliance officer
- Director of auditing/internal auditor
- Provider-based department director/manager
- Healthcare administrator
- Reimbursement
- CFO, COO, CEO
- Hospital-based physician clinic director/manager
- In-house legal counsel/healthcare attorney
- Operations officer
AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Product Types : Departments :
