Medicare for FQHCs

Washington, DC US
June 10, 2019 to June 11, 2019

As the Medicare population continues to grow and the complexity of the program increases, health centers need to improve their Medicare expertise in order to optimize care for Medicare patients, maximize Medicare payment, and avoid Medicare compliance pitfalls.

This two-day intensive training will help health center personnel address challenges and identify opportunities in serving Medicare patients. Topics addressed include the following:

  • The Medicare FQHC PPS
  • Establishing G code charges
  • The Medicare FQHC cost report – why it is still important
  • Medicare Part A and Part B enrollment
  • Coordination of benefits for Medicare-Medicaid dual eligible beneficiaries
  • Payment from Medicare Advantage plans
  • Medicare coinsurance considerations
  • Beyond core FQHC services: new Medicare opportunities for health centers (e.g., care management services, virtual communication services)
  • Telehealth and Medicare

Participants can expect to leave the training with a greater understanding of how to structure health center provider enrollment policies, billing and coding practices, fee schedules, and service offerings in order to provide effective care for Medicare patients.

Target Audience

  • Health Center CEOs
  • CFOs
  • COOs
  • Revenue cycle managers and billing managers
Course summary
Course opens: 
03/01/2019
Course expires: 
12/11/2019
Event starts: 
06/10/2019 - 9:00am
Event ends: 
06/11/2019 - 3:00pm
Cost:
$1,999.00
Washington, DC
Monday, June 10, 2019- Tuesday, June 11, 2019
*All specific agenda times are subject to change*
 

Day 1

Monday, June 10, 2019    
9:00 am - 5:00 pm
8:30 am - 9:00 am Continental Breakfast
9:00 am - 9:30 amIntroductions and Icebreaker
9:30 am - 10:00 am
Medicare and the FQHC Landscape
  • History
  • FQHCs and the Medicare population today
10:00 am - 11:00 am
The Medicare FHCS PPS
  • What is included in the covered benefit?
  • What is a qualifying visit?
  • Common FQHC PPS coding and billing questions answered
11:00 am - 11:15 am
Break
11:15 am - 12:00 pm
Establishing Charges for FQHC PPS G Codes
  • Section 330 requirements
  • Medicare requirements
12:00 pm - 1:00 pm
Lunch
1:00 pm - 1:45 pm
New Medicare Opportunities for Health Centers
  • Care Management Services (CCM, BHI, CoCM)
  • Virtual Communication Services
1:45 pm - 2:45 pm
How Medicare Pays FQHCs for Services Outside the FQHC PPS
  • Providing Part B services under the Physician Fee Schedule
  • Costs reimbursed off the Medicare cost report
2:45 pm - 3:00 pmBreak
3:00 pm - 3:45 pm
FQHCs and Medicare Telehealth
3:45 pm - 4:45 pmBilling and Payment Issues Involving Dual Eligible Beneficiaries
4:45 pm - 5:00 pmWrap-Up

Day 2

Tuesday, June 11, 2019
9:00 am - 3:00 pm
8:30 am - 9:00 am
Continental Breakfast
9:00 am - 10:00 amMedicare Enrollment for FQHCs
10:00 am - 11:00 am
Medicare Audits and Common Program Integrity Issues
11:00 am - 11:15 amBreak
11:15 am - 12:00 pmMedicare Advantage: Wrap, Value-Based Payment
12:00 pm - 1:00 pmLunch
1:00 pm - 1:45 pmMedicare Coinsurance and Health Center Sliding Fee Discount Schedule Issues
1:45 pm - 2:45 pmWrap-Up
FTLF Training Center
1129 20th Street NW
Suite 300
Washington, DC 20036
United States
+1 (855) 200-3822
FTLF Training Room

Travel

Hyatt Place Washington DC/Georgetown/West End 
2121 M St NW
Washington, DC 20037
(202) 838-2222

Kimpton Hotel Palomar DC 
2121 P Street NW
Washington, DC 20037
Hotel: (202) 448-1800 | Reservations: (877) 866-3070

The Wink - Washington, DC 
1143 New Hampshire Ave NW
Washington, DC 20037
(202) 775-0800

The St. Gregory Hotel - Dupont Circle 
2033 M Street NW
Washington, DC 20037
(202) 530-3600

Kimpton Hotel Madera 
1310 New Hampshire Avenue, NW
Washington, DC 20036
Hotel: (202) 296-7600 | Reservations: (800) 430-1202

The Embassy Row Hotel
2015 Massachusetts Avenue, NW
Washington, DC 20036
Hotel: (202) 265-1600 | Reservations: (855) 893-1011

The Dupont Circle Hotel
1500 New Hampshire Avenue, NW
Washington, DC 20036
(202) 483-6000

Hilton Garden Inn - Washington DC/Georgetown Area
2201 M Street NW
Washington, DC 20037
(202) 974-6010

Embassy Suites - Georgetown
1250 22nd Street, NW
Washington, DC 20037
(202) 857-3388

KATHY GHILADI

Kathy is a Partner in Feldesman Tucker’s health law practice group. In the area of health law, Kathy’s practice focuses on government-sponsored health care programs such as Medicaid, CHIP, Medicare, and the Affordable Care Act, with an emphasis on payment/reimbursement and compliance related issues. Kathy also represents clients in government investigations and audits, litigation before federal and state courts, as well as in administrative appeals with the U.S. Department of Health and Human Services Departmental Appeals Board (DAB) and Provider Reimbursement Review Board (PRRB). She provides reimbursement counseling (including identification, reporting, and repayment of overpayments) with respect to Medicare, Medicaid, and private third-party payors. [Full Bio]

SUSANNAH VANCE GOPALAN

Susannah is a Partner in the firm’s health law practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. Susannah brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. She has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]

REBEKAH WALLACE PARDECK

President and Owner of Achieve Revenue Management, LLC, Rebekah has more than 20 years of coding, revenue cycle management, operations, and training experience. She provides training and revenue cycle management services to federally qualified health centers, rural health clinics, and medical practices and community health centers.

Previously, Rebekah worked for over a decade as a consultant with a national accounting firm and as the director of operations for management service organizations and hospital-owned multispecialty physician practices. She is experienced in consulting on professional revenue cycle analysis and enhancement, medical practice operations, patient flow redesign, business process improvement and development, staffing analysis and redesign, practice efficiency and productivity and educational sessions and training. [Full Bio]

TED WATERS

Serving as Managing Partner of the firm since 2003, and a member of the Health Law and Federal Grants practices since 1992, Ted is a national authority in the area of federal grants, particularly in the health and community service spheres. He advises clients on all aspects of program requirements, including issues such as cost-based reimbursement, governance, grant administration, cost reporting, and administrative issues and routinely handles challenging issues such as government audits, internal investigations, and litigation. Ted's priority is to help each organization carry out its mission by offering practical, down-to-earth counsel and to ensure that legal challenges do not distract from that focus. [Full Bio]

Participants can earn up to 13.2 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.

ADDITIONAL INFORMATION

  • Prerequisites: None 
  • Target Audience: Health Center CEOs, CFOs, COOs, Revenue cycle managers, and billing managers
  • Advanced Preparation: None  
  • Program Level: All
  • Delivery Method: Group-Live 

Feldesman Tucker Leifer Fidell LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website www.nasbaregistry.org (formerly www.learningmarket.org).

Available Credit

Accreditation Period

Course opens: 
03/01/2019
Course expires: 
12/11/2019

Price

Cost:
$1,999.00
Please login or register to take this course.

Registration Instructions

Each registration must be in the name of the individual(s) who will attend. This allows FTLF to communicate important course information to the actual attendee(s), add training materials and handouts to the right account, and properly assign certificates of attendance or CPE credits. 

To register for this training:

  • For yourself: login to your account and register with your personal information
  • For someone else: login with the ATTENDEE’S login information or create an account for the ATTENDEE and register from the ATTENDEE's account
  • For a group: email Learning@ftlf.com to complete group registration

If you encounter problems or have questions Contact us.


Payment

We accept payment by PayPal, credit card, and check. Payment for any live training is due upon registration. If payment is not received in full prior to the start of the event, FTLF reserves the right to cancel your order and deny you entrance to the training.

Cancellation Policy

All cancellation requests must be received in writing at learning@ftlf.com. Requests for refunds will be granted according to the following schedule:

  • Requests received 30 or more days prior to the event will receive a full refund.
  • Requests received between 11 to 29 days prior to the event will receive a 50% refund.
  • Requests received within 10 days of the event start date are not eligible for a refund.

If there are extenuating circumstances regarding your cancellation, please reach out to the FTLF Training Team directly at learning@ftlf.com.