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Operationalizing Provider–Based Status and the Incident-To Rule: Revenue Opportunities and Compliance Pitfalls

Session #: 808-F01
Presenter(s): Duane Abbey
Session Length: 1 hr. 30 min.
Event: 2008 HFMA ANI
Date: June 23-26, 2008

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After this session, you will be able to: List criteria required to meet incident-to requirement in order to submit a claim. Outline reporting requirements and the CMS-855 process. Discuss compliance issues, including documentation, preparing for audits and joint venture arrangements. Describe obstacles to maintaining provider-based status, including the relationship between the provider-based status and the incident-to rule. Review Medicare Payment System considerations: APCs vs RBRVs