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FQHC Medicare PPS transition: Pitfalls, hurdles, and lessons learned in the first wave

Wednesday, May 20, 2015

12:00 p.m. – 1:00 p.m. EDT

Visit CohnReznick Executive Learning to register for this webinar. If you are not yet a member, please click on the "New Student Registration" button. We will confirm your enrollment via email. 

Brian Karp

The “new” FQHC Medicare Prospective Payment System (PPS) is intended to ensure that FQHCs receive appropriate reimbursement for services provided to Medicare patients. Early results disclose that unanticipated challenges continue to plague FQHCs transitioning from the Medicare cost-based all-inclusive rate payment model to the “new” PPS payment methodology. The first wave of transitions has revealed unexpected outcomes in a number of crucial areas impacting payment.

You won’t want to miss Part 2 of our Medicare PPS webinar series on Wednesday, May 20th at noon EST, tackling transition issues including:

  • Difficulties in developing a cost based charge structure and charges for G-code bundles
  • Substantiating data to support preventive service codes
  • Reconciling projected reimbursement versus actual payments received, including common causes of discrepancies
  • G-codes: animal, mineral or vegetable? Medicare Advantage plan claim processing delays and implications 
  • Financial reporting and G-code revenue recognition


Scott Morgan is a Director in CohnReznick's Healthcare Industry Practice. Within this Practice, he specializes in the ambulatory care reimbursement group. His responsibilities for this group include providing financial and strategic consulting services to clients in the healthcare and not-for-profit industries. Scott has an in-depth knowledge of federal and state reimbursement and grant requirements. His experience in this arena enables him to assist clients in preparing grant applications for new and added funding, as well as required regulatory reports. He also advises clients on federal requirements that must be met to sustain grant funding..

Dolores Di Re is a manager in CohnReznick’s Healthcare Industry Practice. She has almost 20 years of experience working in the healthcare industry, for which she has provided revenue cycle and compliance services to FQHCs, ambulatory care providers, and hospitals.



CPE Information

This webinar is anticipated to qualify for 1 CPE credit.
Content Level: Intermediate
Advance Preparation: None
Instructional Delivery Method: Webinar

CohnReznick 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 addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN, 37219-2417. Website:

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