Navigating the Complexities of Virtual and Hybrid Care: Medicare Enrollment, Compliance, and Operational Strategies

Join us for an insightful webinar designed to equip virtual and hybrid care organizations with the knowledge and strategies needed to navigate the intricate landscape of Medicare enrollment, compliance, and operational infrastructure.

As virtual and hybrid care models continue to evolve, organizations face unique challenges in managing their legal and operational frameworks. This webinar will provide a comprehensive overview of these complexities, offering practical solutions to ensure compliance and optimize efficiency.

Here's what we'll cover:

• Understanding the Foundational Infrastructure: We'll dissect the legal and operational building blocks of virtual/hybrid groups, addressing the intricacies of managing multiple legal entities, NPIs, EINs, and payer contracts across diverse state and time zone footprints. We'll also explore the implications of geographically distributed providers delivering care from their homes and holding licenses in numerous states.

• Demystifying the Role of Medicare Administrative Contractors (MACs): Gain clarity on the crucial role of MACs, understanding how their geographically defined jurisdictions impact Medicare enrollment and claims processing. We'll also delve into the Geographic Practice Cost Index (GPCI) and its influence on Medicare payment adjustments based on location-specific cost variations.

• Contrasting Traditional and Virtual/Hybrid Enrollment Models: We'll compare and contrast the established Medicare enrollment and reassignment processes for traditional brick-and-mortar practices, where providers typically reassign billing privileges to a central group practice location.

• Leveraging Post-COVID Telehealth Flexibilities: Understand the current flexibilities granted by CMS, allowing providers to deliver telehealth services from their homes without mandating the enrollment of their home address as a practice location (a policy currently extended through CY 2025). We'll clarify how providers can bill from their "currently enrolled location" even while working remotely.

• Navigating Medicare Enrollment and Reassignment in Virtual/Hybrid Settings: We'll dive into specific scenarios relevant to virtual/hybrid models, including:

  • In-state enrollment and reassignment within a single MAC jurisdiction.

  • Out-of-state enrollment and reassignment within a single MAC jurisdiction.

  • Out-of-state enrollment and reassignment across different MAC jurisdictions.

  • Exploring other emerging virtual/hybrid operational models and their enrollment considerations.

  • We'll also discuss the implications of listing all provider home addresses as practice locations.

• Addressing Key Compliance Challenges: We'll highlight the unique compliance hurdles faced by virtual/hybrid care organizations, including:

  • The increased administrative burden of managing enrollment and reassignment for providers with multiple licenses across various entities.

  • The growing financial complexity associated with billing and revenue cycle operations in multi-state virtual environments.

  • The heightened technical complexities of establishing and maintaining EDI connections and reporting across disparate systems.

Who Should Attend:

• Leaders and administrators of virtual and hybrid healthcare organizations

• Compliance officers and legal counsel

• Billing and revenue cycle management professionals

• Credentialing and enrollment specialists

• Healthcare consultants

Don't miss this opportunity to gain critical insights and practical strategies for building a compliant and efficient virtual or hybrid care organization. Register today!