FQHCs in Medicaid: PPS Rates and Beyond

March 17, 2022

Access the on-demand webinar here.


This webinar is intended to convey an understanding of a health center’s Medicaid per visit rate, whether that rate is derived from a prospective payment system (“PPS”) methodology or alternative payment methodology (“APM”).  Knowing how that rate is calculated and what that rate covers is important for health centers as they seek to add or modify their Medicaid-covered services. It is also especially important for compliance professionals to understand what scope of services are covered by the Medicaid per visit rate to ensure that billing is in compliance with federal requirements. The webinar will also cover significant legal protections that apply to the payment of a health center’s per visit rate under federal law. 


Please note: This webinar is offered as a complimentary product to all Health Center Compliance Premium Plan Subscribers. For more information on our Premium Plan, click here or Contact Us.


 

Target Audience

  • Health Center Compliance Professionals
  • Finance Officers
  • Billing Personnel
  • Revenue Cycle Personnel

Learning Objectives

After this webinar, you will be able to:

  • Understand of the unique features and components of Medicaid FQHC payment (from construction of the base per visit rate to applicable adjustments)
  • Describe Medicaid FQHC payment protections that apply under federal law
  • Identify potential gaps in a health center’s Medicaid per visit rate
Course summary
Available credit: 
  • 1.00 Certificate of Attendance
Course opens: 
10/10/2019
Course expires: 
01/01/2023
Event starts: 
03/17/2022 - 1:00pm EDT
Event ends: 
03/17/2022 - 2:00pm EDT
Cost:
$175.00

MATTHEW FREEDUS  

A Partner with the firm, Matt represents health centers facing a variety of adverse administrative decisions and legal actions. Defending clients in all phases of administrative and judicial review, from the lowest level up to the Supreme Court, he also represents clients in affirmative litigation against states and other entities. Matt has litigated on behalf of health centers on a variety of issues, including denials of deeming applications and the scope of FTCA coverage for malpractice actions brought against health centers and their providers. [Full Bio]

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]

Participants can earn up to 1.20 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.

ATTENDEE REQUIREMENTS FOR CPE CREDIT

If you purchase CPE credit for this webinar you must satisfy the following conditions in order to receive your certificate:

  1. Answer at least 3 of the 5 polling questions during the webinar
  2. Complete the evaluation survey after the conclusion of the webinar or in the follow-up email

Upon completion of these requirements, FTLF will email you your CPE Certificate within seven (7) business days.

ADDITIONAL INFORMATION

  • Prerequisites: None 
  • Target Audience: Health Center compliance professionals, Finance Officers, Billing Personnel, and Revenue Cycle Personnel
  • Advanced Preparation: None  
  • Program Level: All
  • Delivery Method: Group Internet Based
  • Attendance Requirements: In order to be awarded the full credits, you must respond to three (3) out of five (5) polling questions.

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

  • 1.00 Certificate of Attendance

Price

Cost:
$175.00
Please login or register to take this course.

Access to the recorded version of this webinar is included in your purchase.

ACCESSING THE RECORDING

The recorded version of this webinar will be available within seven (7) business days after the conclusion of the live event. You will have access to the recording for 180 days after the live webinar has concluded. Once posted to your account, you can view this webinar anytime on-demand during the access period identified in the Recorded Webinar Now Available email. For additional information on viewing and accessing webinars, view our full terms and conditions here.

PAYMENT POLICY

All registrations made the day of a live webinar must be completed using a credit card or PayPal. We do not accept check payments or purchase orders for live webinars on the day of the webinar. If you wish to pay by check, please register in enough time for your check to reach our office; we must receive your check before we grant access to the webinar. If we receive your check after the live webinar, we will grant you access to the recorded webinar. For the most current information, please visit our FAQ page.

REFUNDS/ CANCELLATIONS

For orders of live webinars, FTLF will issue a full refund for cancellations requested at least one week PRIOR to the live webinar. We do not provide refunds for no-shows; however, you may request access to the recorded version of the webinar. If you ordered the wrong webinar and need to transfer your registration to a different program, please Contact Us. View our full policy on refunds and cancellations on our FAQ page.

Required Hardware/software

Google Chrome and Mozilla Firefox are the preferred browsers.