Setting Vendor Arrangements Under Medicare Provider-Based Rule - McDermott

Setting Up Successful Vendor Arrangements Under the Medicare Provider-Based Rule


Finding the right partner is only the first step. Before signing a contract, you need to make sure the planned arrangement is actually permitted under the Medicare provider-based rule. This rule defines the services eligible to be billed as hospital services—and that definition varies based on several key factors, including the type of health system and the location where the services are furnished.

Our legal panelists will explore:

  • The important distinctions that hospitals, vendors, contractors and hospital affiliates need to understand in order to bill services appropriately
  • The requirements that providers must meet in order to retain more favorable reimbursement
  • The recent uptick in government scrutiny of provider-based arrangements including recent enforcement under the provider-based rule.

Explore the full three-part series here.

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