Provider-Based Entities: The Financial Impact of the Budget Bill of 2015 - On-Demand

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Provider-Based Entities: The Financial Impact of the Budget Bill of 2015 - On-Demand

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Provider-Based Entities: The Financial Impact of the Budget Bill of 2015 - On-Demand

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Available ON-DEMAND

Presented: Tuesday, March 29, 2016

Presented by: 
Kimberly A. H. Baker, JD, CPC

Level of Program

A congressional mandate may change the way hospitals view provider-based departments. In recent years, hospitals have moved services off-campus due to the value of hospital space or for patient convenience, but a bill concerning these departments could lead to hospitals instead partnering with freestanding clinics for financial reasons.

During this program, expert speaker Kimberly A. H. Baker, JD, CPC, breaks down the differences between provider-based and freestanding locations and helps you gauge the financial impact of the bill on hospitals, assisting you in determining what changes could take place in 2016 and 2017. She also discusses provider-based department packaging and gives a brief introduction to modifier -PO.

At the conclusion of this on-demand program, participants will be able to:

  • Identify what constitutes an off-campus provider-based department
  • Adopt strategies to predict the financial impact of freestanding versus provider-based status
  • Articulate services not paid separately in provider-based locations
  • Properly use modifier -PO


Who should listen?

  • HIM directors and managers
  • Revenue cycle directors and managers
  • RAC coordinators
  • Compliance officers
  • HIM staff members
  • Billing/reimbursement staff members
  • Chargemaster coordinators
  • Auditors
  • Clinic directors
  • Off-campus directors
  • Finance



  • Provider-based departments and their reimbursement
    • On- and off-campus departments
    • Appropriate use of modifier -PO
    • Packaging of labs/diagnostic services in conjunction with provider-based services
  • New Bipartisan Budget Bill of 2015 requirements
  • What facilities are grandfathered
  • What happens in 2017 and how it will affect reimbursement for these facilities
  • Provider-based departments versus freestanding locations
    • Comparison of provider-based and freestanding location reimbursement
    • Financial impact of freestanding versus provider-based status over time
  • Q&A (not live)

Continuing Education

American Health Information Management Association (AHIMA)
The live program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (CEU’s for this webcast expire on: 1/27/2017)

Meet the Speaker

Kimberly A. H. Baker, JD, CPC, is the director of Medicare and compliance for HCPro. She is a lead regulatory specialist and the lead instructor for HCPro's Medicare Boot Camp®—Hospital Version and Medicare Boot Camp®—Utilization Review Version. She is also an instructor for HCPro’s Medicare Boot Camp®—Critical Access Hospital Version. She is a former hospital compliance officer and in-house legal counsel, and has 10 years of experience teaching, speaking, and writing about Medicare coverage, payment, and coding regulations and requirements.

Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.

No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

Please note 
Participation in this webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.