Are you one of those, under increasing fiscal pressures and dipping reimbursements, contemplating on converting your free-standing clinic into a Provider Based one? If so you are not alone, as many before you have taken that route with satisfactory results. But with any paradigm shift in operations comes the added burden of compliance, and it is no different when it comes to adopting a provider-based status for your clinic.
Although the primary reason for such a conversion might be the higher expected reimbursements from Medicare (like around $64 for freestanding vs $112 for PBC when it comes to a basic physician office visit), the new avatar might turn out to be a bane rather than a boon, if you are not compliant with the increased regulatory requirements. Also, physician reimbursements and patient fees within the new entity need to be aligned along lines reflecting the current state of affairs.
BillingParadise, for some time now, has been at the forefront of the PBC battle lines, guiding many a confused free standing clinic across the river of uncertainty into the Promised Land with astute consulting. We, at BillingParadise can aid you with the following PBC related activities:
a. Understanding the requirements of 42 CFR 413.65 and related regulations.
b. Medical Coding and Billing in Provide-Based entities
c. The costs associated with transforming into a PBC.
d. The 3-day payment window rule.
e. EHR Integration with the mother hospital (note that BillingParadise is a certified consultant for Practice Fusion, the leader in cloud-based EHRs).
To get started call BillingParadise on the toll-free at 1-(888)-571-9069 or email steve@billingparadise.com.
