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.
This three-day intensive training, led by attorney Susannah Vance Gopalan and Rebekah Wallace Pardeck of Achieve Revenue Management, will help health center personnel address challenges and identify opportunities in serving Medicare patients. Topics addressed include the following:
- Basics of Medicare for FQHCs
- Covered services within the Medicare FQHC benefit
- Medicare conditions for coverage
- The Medicare FQHC PPS
- Establishing G code charges
- Services that fall outside of the FQHC benefit
- 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, behavioral health additions)
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.
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 | |
Tuesday, October 15, 2024 | 11:00 a.m. - 3:00 p.m. ET |
11:00 - 11:30 a.m. | Conditions for Coverage |
11:30 - 12:15 p.m. | Covered Benefit |
12:15 - 12:30 p.m. | Break |
12:30 - 1:30 p.m. | Covered Benefit (cont.) |
1:30 - 2:00 p.m. | Break |
2:00 - 2:45 p.m. | PPS Overview & Basics |
2:45 - 3:00 p.m. | Coinsurance Considerations |
Day 2 | |
Wednesday, October 16, 2024 | 1:00 a.m. - 3:00 p.m. ET |
11:00 - 11:20 a.m. | Enrolling/Revalidating |
11:20 - 12:15 p.m. | Establishing Payment "G" Code Charges |
12:15 - 12:30 p.m. | Break |
12:30 - 1:30 p.m. | Billing Under Part B |
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 | |
Thursday, October 17, 2024 | 11:00 a.m. - 3:00 p.m. ET |
11:00 - 11:45 a.m. | Telehealth |
11:45 - 12:15 p.m. | Other Virtual Communication Services |
12:15 - 12:30 p.m. | Break |
12:30 - 1:30 p.m. | Multiple Providers |
1:30 - 2:00 p.m. | Break |
2:00 - 2:45 p.m. | Establishing Medicare Advantage Wrap |
2:45 - 3:00 p.m. | Wrap-Up |
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 training@feldesman.com 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 11.40 CPE credits 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 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
- 9.75 Certificate of Attendance
- 11.40 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.
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.
Registration Fees
Early Registration(Through August 31) | Regular Registration(September 1 and Later) |
$1,399 | $1,499 |
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 us 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 training@feldesman.com to complete group registration
If you encounter problems or have questions contact us.
Payment Policy
We accept the following forms of payment: American Express, Mastercard, Visa, ACH, PayPal, electronic check, and check. For information about the methods of payment we accept, please review our Payment FAQs.
Refunds/Cancellations
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Required Hardware/Software
Google Chrome or Mozilla Firefox are the preferred browsers.