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 centers 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 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.
Target Audience
- Health Center CEOs
- CFOs
- COOs
- Revenue cycle managers and billing managers
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.
Learning Objectives
After this training you will be able to:
- Understand how to structure health center provider enrollment policies
- Describe common billing and coding challenges
- Identify strategies to provide effective care for Medicare patients
Agenda
Day 1 | |
Tuesday, February 9, 2021 | 11:00 am - 4:30 pm ET |
11:00 am - 11:15 am | Introductions and Overview |
11:15 am - 11:45 am | Medicare and the FQHC Landscape |
11:45 am - 12:00 pm | Break |
12:00 pm - 12:30 pm | Enrollment Reminders: Quick Considerations |
12:30 pm - 1:15 pm | The Medicare FQHC PPS: A Legal Overview |
1:15 pm - 1:45 pm | Break |
1:45 pm - 2:30 pm | The Medicare FQHC PPS: A Legal Overview (cont.) |
2:30 pm - 2:45 pm | Break |
2:45 pm - 4:15 pm | Putting It All Together:
|
4:15 pm - 4:30 pm | Wrap-Up |
Day 2 | |
Wednesday, February 10, 2021 | 11:00 am - 4:30 pm ET |
11:00 am - 11:15 am | Questions from Day 1 |
11:15 am - 12:00 pm | Caring for Medicare Patients During COVID-19 |
12:00 pm - 12:15 pm | Break |
12:15 pm - 1:00 pm | Caring for Medicare Patients During COVID-19 (cont.) |
1:00 pm - 1:30 pm | Break |
1:30 pm - 2:15 pm | How Medicare Pays for Services Outside the Medicare for FQHC PPS |
2:15 pm - 3:00 pm | Coinsurance and the Sliding Fee Discount Schedule |
3:00 pm - 3:15 pm | Break |
3:15 pm - 4:15 pm | G Codes and Charge-Setting |
4:15 pm - 4:30 pm | Wrap-Up |
Day 3 | |
Thursday, February 11, 2021 | 11:00 am - 3:30 pm ET |
11:00 am - 11:30 am | Questions from Day 2 |
11:30 am - 12:15 pm | Billing and Payment Issues Involving Multiple Payers |
12:15 pm - 12:30 pm | Break |
12:30 pm - 1:30 pm | Medicare Advantage: Wraparound |
1:30 pm - 2:00 pm | Break |
2:00 pm - 3:00 pm | Care Management Services in Medicare |
3:00 pm - 3:30 pm | Final Questions and 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 14.60 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 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
- 12.25 Certificate of Attendance
Price
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 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 learning@ftlf.com.
Required Hardware/Software
Google Chrome or Mozilla Firefox are the preferred browsers.