Hospital Provider-Based Compliance: Top 10 Myths and Truths | McDermott Will & Emery

Hospital Provider-Based Compliance: Top 10 Myths and Truths

Overview


Hospitals participating in the Medicare program must follow specific “provider-based rules” to receive payments from Medicare for hospital services. These rules are complex and often misunderstood. Certain persistent myths about these rules may result in hospitals receiving improper payments.

In light of recent congressional efforts focused on equalizing payment rates across care settings, including efforts to mandate the submission of provider-based attestations (PBAs) for many existing and new provider-based locations, now is the time for hospitals and health systems to evaluate their compliance with the provider-based rules.

During this webinar, we debunked common myths about the provider-based rules. Discussion topics included:

  • Recent proposed legislation to require PBAs, and the implications for hospitals if these requirements are implemented
  • Ten frequent misunderstandings related to provider-based compliance, and their corresponding clarifications
  • Timing and compliance considerations for hospitals and health systems with provider-based locations
  • Action items and next steps if you identify noncompliance

For more information on this topic, read our related On the Subject, Hospital Provider-Based Compliance: Top 10 Myths and Truths.

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