In this presentation:
- Introduction
- Why Ancillary Services Transactions Are Being Done
- Conversion to Provider-Based or Under Arrangement
- An Illustration
- Some Medicare Vernacular
- Why Convert?
- Factual Scenario
- History and Purpose of Provider-Based Rules
- On-Campus v. Off-Campus
- Provider-Based Requirements Applicable to On-Campus AND Off-Campus Facilities or Organizations
- Additional Provider-Based Requirements Applicable ONLY to Off-Campus Facilities or Organizations
- Provider-Based Status for Joint Ventures
- What If a Joint Venture Will Be Involved?
- Under Arrangement
- Provider-Based v. Under Arrangement
- Provider-Based v. Under Arrangement: The Choice
- Supervision of Hospital (Provider) Outpatient Diagnostic Services
- Process for Conversion to Provider-Based or Under Arrangement
- Roll-Up
- Factual Scenario
- Roll-Up Considerations
- Process for Roll-Up
- Outright Acquisition of Ancillary Services Centers or of Joint Venture Ownership
- Factual Scenario
- Acquisition Considerations
- Process for Acquisition
- Co-Management and Other Relationships Between Hospitals and Physicians Involving Ancillary Services
- Why Consider Other Relationships Involving Ancillary Services?
- Examples of Relationships
- Think Like an Investment Banker
- Quality and Risk Implications
- Excerpt from Some Medicare Vernacular:
- Physician groups and independent diagnostic testing facilities (“IDTFs”) are considered to be “suppliers” by Medicare.
- Hospitals are considered to be “providers” by Medicare.
Please see full publication below for more information.
