Medicare for FQHCs
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.
- Health Center CEOs
- Revenue cycle managers and billing managers
Wednesday, February 19, 2020
9:00 am - 5:00 pm
|8:30 am - 9:00 am||Continental Breakfast|
|9:00 am - 9:30 am|
Introductions and Icebreaker
|9:30 am - 10:00 am|
Medicare and the FQHC Landscape
|10:00 am - 11:00 am|
Starting at the Beginning: Medicare Enrollment
|11:00 am - 11:15 am|
|11:15 am - 12:15 pm|
Medicare FQHC: Covered Benefit and Unit of Payment
|12:15 pm - 1:00 pm|
Lunch (provided by FTLF)
|1:00 pm - 1:45 pm|
The Medicare FQHC PPS: A Legal Overview
|1:45 pm - 2:45 pm|
G Codes and Charge-Setting
|2:45 pm - 3:00 pm||Break|
|3:00 pm - 3:45 pm||Coinsurance and the Sliding Fee Discount Schedule|
|3:45 pm - 4:45 pm||How Medicare Pays FQHCs for Services Outside the FQHC PPS|
|4:45 pm - 5:00 pm||Wrap-Up|
Thursday, February 20, 2020
9:00 am - 3:00 pm
|8:30 am - 9:00 am|
|9:00 am - 9:45 am|
Common FQHC Medicare Billing Pitfalls and How to Avoid Them
|9:45 am - 10:15 am|
Billing and Payment Issues Involving Multiple Payers
|10:15 am - 10:30 am||Break|
|10:30 am - 11:30 am||Medicare Advantage: Wraparound; Value-Based Payment|
|11:30 am - 12:00 pm||Lunch (provided by FTLF)|
|12:00 pm - 12:45 pm||Medicare Audits and Common Program Integrity Issues|
|12:45 pm - 1:30 pm||Telehealth and Other Remote Services in Medicare|
|1:30 pm - 2:30 pm||Care Management Services in Medicare|
|2:30 pm - 3:00 pm||Wrap-Up|
Hyatt Place Washington DC/Georgetown/West End
Kimpton Hotel Palomar DC
The Wink - Washington, DC
The St. Gregory Hotel - Dupont Circle
Kimpton Hotel Madera
The Embassy Row Hotel
The Dupont Circle Hotel
Hilton Garden Inn - Washington DC/Georgetown Area
Embassy Suites - Georgetown
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 (Achieve Revenue Management, LLC)
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]
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 14.40 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.
- 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).
- 12.00 Certificate of Attendance
- 14.40 CPEFTLF 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.
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.
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.
All cancellation or transfer requests must be received in writing at firstname.lastname@example.org. Requests for refunds or transfers for in-person events will be granted according to the following schedule:
- 30 or more days prior to the event, requests for a full refund or a transfer without a fee will be granted.
- Between 11 to 29 days prior to the event, requests for cancellations will be granted a 50% refund and requests for transfers will be granted, space permitting and subject to a transfer fee.
- Within 10 days of the event start date, no requests for refunds or credits will be granted. At FTLF's discretion, late transfers may be granted, space permitting and subject to a transfer fee.
If there are extenuating circumstances regarding your cancellation, please reach out to the FTLF Training Team directly at email@example.com.