(Recorded Webinar) FQHCs in Medicaid: PPS Rates and Beyond

Duration: 60 minutes
Recorded on: 3/17/2022

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: 
03/30/2022
Course expires: 
07/01/2024
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]

Certificates of Attendance: We verify attendance upon completion of a webinar (live or recorded version) and will only issue certificates in the name of the account holder enrolled in the course. If you need to document attendance for someone other than the account holder, we provide blank Certificates of Attendance for a supervisor to sign and certify that a different individual viewed the course. 

Group Attendance: Due to the online nature of webinars, we cannot verify participation by more than one person. For groups, we provide an attendance record form and blank Certificates of Attendance to record attendance at a group viewing session and document each individual's participation. We recommend that a supervisor or colleague sign the certificate to certify attendance. 

Read more about maintaining an attendance record in our FAQs.

Available Credit

  • 1.00 Certificate of Attendance

Price

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

ACCESS PERIOD

Recorded webinars are available for 180 days after the date of purchase or date of the webinar. Once posted to your account, you can view this webinar anytime on-demand during the access period identified in your purchase confirmation. For additional information on viewing and accessing webinars, view our full terms and conditions here.

PAYMENT POLICY

If you pay by credit card or PayPal, you will be able to access the recorded webinar immediately (unless the live webinar has not yet occurred). If you pay by check, we will grant access to the recording when we receive your check. You will receive a confirmation email once access is granted. FTLF reserves the right to suspend access to the webinar if payment is not received within 30 days. For more information on payments and registration, please visit our FAQ page.

CANCELLATION POLICY

No refunds will be provided for recorded webinars. FTLF can transfer a registration to someone else within your organization or, provided you have not already viewed the webinar, transfer the registration to another on-demand program. Where the registration fee for the new webinar is higher, you must also pay the difference between the original course and the new course registration fee at the time of transfer. Administrative fees may also apply. If your organization purchased a webinar under the account of a staff member who no longer works for your organization, please Contact Us. View our full policy on refunds and cancellations here.

Required Hardware/software

Google Chrome and Mozilla Firefox are the preferred browsers.