Provider-Based Rules: Update for 2018
Hospitals are ever increasingly establishing provider‐based clinics of all types. While hospitals can enjoy increased revenues from provider‐based clinics, compliance with all the rules and regulations is challenging. The provider‐based rule (PBR) is complex and there are definite ambiguities. Recent changes in the supervisory requirements for provider‐based operations have created confusion and new compliance challenges. Additionally, with Section 603 of the Bipartisan Budget Act of 2015, there is movement to change the rules and regulations relative to reimbursement for provider‐based clinics.
In this workshop the overall purpose and function of the provider‐based rule is addressed as well as critical information concerning physician supervisory changes along with a discussion of the future of provider‐based clinics. Particular attention is made to rule changes as implemented by CMS relative to Section 603 of BBA 2015 and further changes made by Section 16001 of the 21st Century Cures Act.