Home Services Hospital-Based Status

It has been generally accepted that hospitals would receive increased Medicare and possibly Medicaid reimbursement if a clinic was considered provider-based. Due to recent legislation addressing regulatory and payment issues surrounding hospital-based status, this may no longer be the case.

  • TPR has experience with the nuances of calculating the difference between Medicare and Medicaid hospital-based payment versus Medicare and Medicaid free-standing payment.
  • TPR has experience reviewing hospital-based clinics to ensure they are compliant with Medicare regulations.
  • TPR can prepare attestation and Provider Enrollment forms.
  • TPR can help hospitals interpret recent regulations to assist them in making a decision whether a clinic can meet the most recent regulatory and legislative requirements; and can help make a decision whether the clinic should be converted to hospital-based status.

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