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ForwardFQHCs in Medicaid: PPS Rates, Rate Adjustments, and Beyond
This webinar is designed to provide a clear 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 the rate is calculated and what the rate covers is important for health centers as they seek to add or modify their Medicaid-covered services and obtain rate adjustments to account for changes in the scope of Medicaid services provided. 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 training 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 Training Plan subscribers. For more information on our Health Center Compliance Training plan, click here or contact us.
The on-demand version of this webinar will be available for purchase after the conclusion of the live webinar.
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
Kathy S. Ghiladi
Kathy Ghiladi is a Partner in the firm's Health Care and Federal Grants practice groups. Her 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:
- Answer at least 3 of the polling questions during the webinar
- Complete the evaluation survey after the conclusion of the webinar or in the follow-up email
Upon completion of these requirements, we will email you your CPE Certificate within two (2) weeks.
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 at least three (3) polling questions.
Feldesman Leifer 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
- 1.20 CPE
Price
Access to the recorded version of this webinar is included in your purchase.
You will have access to the recordings for 180 days after enrollment. Once posted to your account, you can view each 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.
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