Unpacking & Understanding the Medicare “Under Arrangement” Rules

To ensure that patients receive the care that they need, a hospital may arrange for another entity to provide a particular service to a patient. In this type of contract arrangement, a complicated set of Medicare reimbursement rules comes into play and dictates how such services may be billed.

In this session, we will walk through the nature of “under arrangement” billing between health systems and provide:

• Guidance on how funds should—and should not—flow according to the nature of the arrangement
• Tips for establishing appropriate oversight and control over services being provided and billed “under arrangements”
• Practical case studies.