Medicare Designated Provider-Based Clinics and Departments


The Medicare provider-based service designation allows hospitals and critical access hospitals to obtain provider-based designations for physician practices, certified rural health clinics, cancer centers, behavioral health centers and other outpatient service lines. Higher Medicare program reimbursements for services are rendered to Medicare patients; and in some cases, Medicaid reimbursements are obtained with the provider-based designation from the Medicare program. In addition, the provider-based designation allows services, such as physician practices and cancer centers, to participate in the 340B Drug Pricing Program. Subsequent cost savings for pharmaceutical purchases are significant and a robust 340B contract pharmacy program provides additional revenue streams.

Medicare regulations on operations and billing are complex and challenging to implement due to the requirements spanning multiple departments, operating policies and procedures. This course will offer existing provider-based regulatory requirements, operational issues, and reimbursement benefits.


CPE Credits


2:00 pm – 4:00 pm 


Learning Objectives:

  • Recognize the reimbursement benefit with provider-based designation
  • Understand the Medicare program regulatory requirements necessary to comply with  provider-based designation
  • Review the more challenging aspects of complying with provider-based regulations such as management agreements, joint ventures, and clinical integration requirements
  • Learn additional financial benefits associated with provider-based designations

Who Should Attend:    

  • C-Suite Executives including CEO, CFO, VP Nursing
  • Compliance Officers
  • Revenue Cycle Professionals
  • Controllers and other hospital financial personnel including financial analysist


Ovation Healthcare
Vice President, Regulatory & Financial Reporting


In order to be awarded the full credits, you must respond to every polling question asked during the program and complete the evaluation.

Participants will earn up to 2.0 CPE credits.

  • Field of Study: Specialized Knowledge
  • Prerequisites: None
  • Advanced Preparation: None
  • Program Level: Basic
  • Delivery Method: Group Internet Based

Ovation Healthcare Learning Institute is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:

Ovation Healthcare Learning Institute may cancel or reschedule a live webinar program at its discretion due to unforeseen circumstances. We will use reasonable efforts to notify registrants of the cancellation at least two weeks (10 business days) in advance of the original live webinar program.

If Ovation Healthcare Learning Institute cancels a live webinar program, refunds of the webinar registration fee will not be given. However, all current registrants at time of cancellation will obtain a credit to be applied to a future live webinar program of their choice.

Complaint Resolution:

For information regarding refunds, program cancellation policies and/or concerns please contact our client support team at 615-371-7979 or