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ForwardMedicare for FQHCs
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.
NEW: This training will cover recent updates to the Medicare program, including:
- Changes in Medicare coverage of / payment for behavioral health services that will take effect 1/1/24, due to the Consolidated Appropriations Act 2023; and
- Expansion of Medicare-covered care management services, including the addition of chronic pain management as an FQHC care management service in CY2023.
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.
In this three-day intensive training, Susannah Vance Gopalan will team up with Rebekah Wallace Pardeck of Achieve Revenue Management. On Day 1, we will cover basics of Medicare for FQHCs, such as covered services within the Medicare FQHC benefit, Medicare conditions for coverage, and the structure of the prospective payment system (PPS).
Day 2 will focus on payment issues such as establishing “G code” charges for FQHC visits, billing the Medicare program for services that fall outside the FQHC benefit, and obtaining payment for services to dual eligible (Medicare-Medicaid) beneficiaries.
During Day 3, the presenters will consider strategic decisions health center leaders can make to optimize care for Medicare patients in health centers. Among other topics, we will address telehealth and virtual communication services and obtaining supplemental (“wraparound”) payments from Medicare for services provided to Medicare Advantage enrollees.
Target Audience
- Health Center CEOs
- CFOs
- COOs
- Revenue cycle managers and billing managers
Learning Objectives
After this training you will be able to:
- Identify the components of the Medicare FQHC benefit
- Describe common billing and coding challenges
- Identify strategies to provide more effective care for Medicare patients
Agenda
Day 1 - Medicare FQHC Program Fundamentals | |
Monday, February 13, 2023 | 11:00 a.m. - 3:00 p.m. ET |
| 11:00 - 11:30 a.m. | Conditions for Coverage |
| 11:30 a.m. - 12:15 p.m. | The Medicare FQHC PPS: A Legal Overview |
| 12:15 - 12:30 p.m. | Break |
| 12:30 - 1:30 p.m. | Covered Benefit; "Visit" Definition |
| 1:30 - 2:00 p.m. | Break |
| 2:00 - 2:45 p.m. | Telehealth & Virtual Communication Services |
| 2:45 - 3:00 p.m. | Coinsurance Considerations |
Day 2 - Additional FQHC Payment Considerations | |
Tuesday, February 14, 2023 | 11:00 a.m. - 3:00 p.m. ET |
| 11:00 - 11:20 a.m. | Enrollment and Revalidation |
| 11:20 a.m. - 12:15 p.m. | Establishing Payment "G" Code Charges |
| 12:15 - 12:30 p.m. | Break |
| 12:30 - 1:00 p.m. | Billing Under Medicare Part B |
| 1:00 - 1:30 p.m. | The End of the PHE: Medicare Changes for FQHCs |
| 1:30 - 2:00 p.m. | Break |
| 2:00 - 2:45 p.m. | Dual Eligible Patients |
| 2:45 - 3:00 p.m. | Medicare Secondary Payor |
Day 3 - Advancing Medicare in the FQHC | |
Wednesday, February 15, 2023 | 11:00 a.m. - 3:00 p.m. ET |
| 11:00 - 11:45 a.m. | Care Management Services |
| 11:45 a.m. - 12:15 p.m. | Enrolling as Multiple Provider Types |
| 12:15 - 12:30 p.m. | Break |
| 12:30 - 1:30 p.m. | FQHCs and Medicare Service Delivery Systems (Managed Care, ACOs, PACE) |
| 1:30 - 2:00 p.m. | Break |
| 2:00 - 2:45 p.m. | Medicare Advantage: Criteria for Obtaining Supplemental Payments ("Wraparound) |
| 2:45 - 3:00 p.m. | Wrap-Up |
FTLF'S VIRTUAL CLASSROOM
This live, interactive training will take place in FTLF's Virtual Classroom, hosted by Zoom. Should you have any technical questions or would like more information, please contact us at learning@ftlf.com or 1-855-200-3822.
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]
Participants can earn up to 3.40 CPE credits per day 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 Internet Based
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
- 9.75 Certificate of Attendance
Price
TRAINING IS NOT RECORDED
This training will not be recorded for later viewing, as we would like attendees to be comfortable and candid, sharing their experiences and asking scenario-based questions. The discourse between the attorneys and participants is a valued part of each training.
Pricing
To register, click the checkbox(s) above next to the session(s) that you wish to attend. For all three days, click the top-most checkbox next to "Medicare for FQHCs".
| Pricing | |
|---|---|
1 day | $550 |
2 days | $1,100 |
Full Workshop | $1,495 |
Group Discounts
Bring your team! Discounts are available for groups of three (3) or more individuals from the same organization. Please contact us to process your registration.
Groups of 3 - 6 | Groups of 7 - 10 | Groups of 11 - 15 | Over 15 attendees |
| 10% off | 15% off | 20% off | Call us! |
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/Transfer Policy
All cancellation or transfer requests must be received in writing at learning@ftlf.com. 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, minus a $75 administrative 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 learning@ftlf.com.
Required Hardware/Software
Google Chrome or Mozilla Firefox are the preferred browsers.