Medicare 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.
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.
Day 1, Medicare FQHC Program Fundamentals, 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, Additional FQHC Payment Considerations, 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.
Day 3, Advancing Medicare in the FQHC, 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.
- Health Center CEOs
- Revenue cycle managers and billing managers
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
FELDESMAN TRAINING SOLUTIONS VIRTUAL CLASSROOM
This live, interactive training will take place in the Feldesman Training Solutions Virtual Classroom, hosted by Zoom. Should you have any technical questions or would like more information, please contact us at firstname.lastname@example.org or 1-855-200-3822.
Susannah Vance Gopalan
Susannah Vance Gopalan is a Partner in the firm’s Health Care practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. She 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 9.75 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 Internet Based
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).
- 9.75 Certificate of Attendance
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.
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