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.