Upcoming ECG Trends Webinars
The ECG Trends Webinar Series offer individuals the opportunity to hear from ECG's knowledgeable and experienced team of consultants and guest presenters on a host of topics affecting today's healthcare executives. These sessions are complimentary to our clients, industry colleagues, and other interested parties.
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LinkedInMaking the Decision to Designate Your Physician Clinics as Provider-Based
Tuesday, March 20, 2012 | 10:00 am - 11:30 am PT
The choice of freestanding or provider-based designation typically has significant financial and operational implications. The Balanced Budget Act of 1997 (BBA) and subsequent clarifying updates have established specific guidelines on the definition of provider-based clinics and fundamentally altered the Medicare reimbursement methodology for services provided in this setting. Other government payors (e.g., Medicaid) may also recognize a site-of-service differential for provider-based clinics. The advantage of these differences in reimbursement may be significant. However, converting to provider-based status often requires facility upgrades and changes to clinic personnel policy in order to meet regulatory requirements and may result in increased operating costs. Therefore, weighing these costs against the potential reimbursement advantage is critical for an informed decision-making process.
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