Provider-Based Status: Benefits and Challenges

Christopher P. Kenny, Partner, King & Spalding LLP, and Christina A. Hughes, Counsel, Powers Pyles Sutter & Verville PC, discuss some of the key issues related to provider-based status. They cover challenges related to the public awareness, notice of co-insurance, and distance requirements; and the difference between billing something as “provider-based” versus "under arrangement." Christopher and Christina spoke about this topic at AHLA’s 2024 Institute on Medicare and Medicaid Payment Issues in Baltimore, MD.