Financial Operations and Reimbursement

Understanding the Medicare Provider-Based Designation

Webinar

Medicare regulations governing provider-based operations and billing are complex, requiring coordination across multiple departments with integrated policies and procedures. The Medicare provider-based service designation allows healthcare organizations and critical access hospitals to obtain provider-based status for physician practices, certified rural health clinics, cancer centers, behavioral health centers, and other outpatient departments. Strong understanding of the designation can result in higher Medicare reimbursement for services provided to Medicare patients and, in certain cases, may also support enhanced Medicaid reimbursement opportunities.

Join Ovation Healthcare’s Vice President of Healthcare Finance & Reimbursement, Patrick Nudo, for an in-depth review of provider-based regulations, operational considerations, and reimbursement strategies. This session will discuss current provider-based regulatory requirements, implementation challenges, operational best practices, and the reimbursement benefits associated with provider-based designation.

1


CPE Credit

07/15/2026  

10:30 am – 11:30 am CT

Virtual

Learning Objectives:

  • Identify the reimbursement advantages associated with the provider-based designation
  • Understand the Medicare program regulatory requirements necessary to comply with the provider-based designation
  • Examine challenges to consider when complying with provider-based regulations, including management agreements, joint ventures, and clinical integration requirements

Who Should Attend:

  • C-Suite Executives
  • Compliance Officers
  • Revenue Cycle Professionals
  • Controllers and other hospital financial personnel, including financial analysists

Presenters

Ovation Healthcare
Associate Vice President, Healthcare Finance & Reimbursement

Ovation Healthcare Learning Institute Accreditation:

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

Participants will earn 1.0 CPE credit

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

Ovation Healthcare Learning Institute (OLI) 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: www.nasbaregistry.org.

Refunds and Cancellations:

OLI 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 OLI 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 education@ovationhc.com.

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