Hospital Outpatient Services: Complying With CMS Physician Supervision Rules to Protect Medicare Reimbursement

This program has been cancelled

A live 90-minute CLE webinar with interactive Q&A


Tuesday, February 12, 2019

1:00pm-2:30pm EST, 10:00am-11:30am PST

Early Registration Discount Deadline, Friday, January 25, 2019


This CLE webinar will prepare healthcare counsel to guide hospitals through the Centers for Medicare and Medicaid Services (CMS) supervision requirements for outpatient services. The panel will discuss where there are more stringent requirements, incident to billing as it relates to supervision requirements, and how hospitals should respond to common supervision challenges.

Description

The CMS physician supervision requirements continue to create uncertainty and cause confusion. The rules call for on-campus hospital outpatient services to be directly supervised by an appropriately qualified physician or, in certain circumstances, by certain advanced practitioners (APs), such as a nurse practitioner or physician assistant.

The site of care determines the level of supervision required and the clinician permitted to provide such supervision. Consequences for noncompliance include recoupment of overpayments and possible False Claims Act violations.

Listen as our panel of healthcare attorneys explains the requirements of the CMS supervision requirements for outpatient services. The panel will discuss where there are more stringent requirements, incident to billing as it relates to supervision requirements, and how hospitals should respond to common supervision challenges.

READ MORE

Outline

  1. Supervision requirements
    1. Advanced practitioner (APs) supervision
    2. Qualifications of physician or AP
    3. Therapeutic services
    4. Diagnostic services
    5. On-campus services
    6. Off-campus services
    7. Under arrangements
  2. Compliance challenges for hospitals
    1. Identifying qualified physicians and APs
    2. Elimination of services?
  3. Incident to billing as it relates to supervision requirements
  4. Best practices
    1. Assess outpatient operations
    2. Evaluate resources and physician relationships
    3. Review and revise supervision policies and procedures

Benefits

The panel will review these and other crucial questions:

  • How do the CMS requirements for physician supervision of hospital outpatient services impact hospital operations?
  • What challenges do hospitals face in meeting the supervision requirements?
  • What steps should hospitals take to ensure compliance with the rules?

Faculty

Grimm, Douglas
Douglas A. Grimm, FACHE

Partner
Arent Fox

Mr. Grimm focuses his practice on the representation of hospitals and healthcare systems with an emphasis on regulatory...  |  Read More

Stemple, Hillary
Hillary M. Stemple

Atty
Arent Fox

Ms. Stemple advises clients on compliance with healthcare fraud and abuse laws, with an emphasis on the Stark law and...  |  Read More