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Growth is a primary objective of most health center strategic plans and is often accomplished through the addition of new sites. Many organizations focus on the planning and construction, and the excitement of that first day. But there are myriad regulatory steps to perform to ensure you receive appropriate payment for the services delivered at your new site. BPHC, Medicare, and Medicaid each have specific requirements, as do NCQA and other accrediting bodies. Incomplete or missing forms can delay eligibility for payment and result in cash flow challenges.
Presenters will discuss these various requirements and provide a tool for tracking needed activities.
Understand the various Medicare enrollment requirements.
Identify examples of state-specific Medicaid enrollment requirements.
Develop a tool for ensuring the timely completion of all forms and for predicting cash flow.
Value-based care and quality payment models have made coding an integral part of the Medicare Access and CHIP Reauthorization Act (MACRA), Merit-Based Incentive Payment System (MIPS), and Quality Payment Program (QPP)…
Session presenters will review the Financial Capacity Review document, currently utilized by the Division of Financial Integrity (DFI) of HRSA, to analyze financial policies and procedures in place at health centers…
There are many considerations involved in deciding to have an in-house pharmacy or to use a contract 340B pharmacy. A "contract pharmacy" is a pharmacy that is owned by an organization other than the health center…
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