Please Note: This training is limited to community health centers and look-alikes. If you are not affiliated with a health center and would like to attend, please contact us.

As the Medicare population continues to grow and the complexity of the program increases, health center leadership and operational teams need to improve their Medicare expertise in order to optimize care for Medicare patients, maximize Medicare payment, and avoid Medicare compliance pitfalls. Medicare has played a key role in health centers’ operational stability during the COVID-19 pandemic, providing for payment for COVID-19 vaccinations and treatments and leading the way for other payors on telehealth coverage and payment for FQHCs.

This three-day intensive training, led by attorney Susannah Vance Gopalan and Rebekah Wallace Pardeck of Achieve Revenue Management, will help health center personnel address challenges and identify opportunities in serving Medicare patients. Topics addressed include the following:

• Basics of Medicare for FQHCs
• Covered services within the Medicare FQHC benefit
• Medicare conditions for coverage
• The Medicare FQHC PPS
• Establishing G code charges
• Services that fall outside of the FQHC benefit
• 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, behavioral health additions)

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.