Calendar
South Carolina Office of Rural Health’s Center for Practice Transformation presents…
1815 Collaborative Kickoff:
Improving the Health of South Carolinians through
Prevention and Management of Diabetes and Heart Disease and Stroke
Thursday, February 20, 2020 at 9:00 a.m.
Agenda to follow.
A light lunch will be served.
Please Note: It is imperative that a team member from all participating practices are in attendance. Please contact us if you did not receive registration information.
In Partnership with SC DHEC’s Division of Diabetes & Heart Disease Management
*** Approved for 11 Continuing Education Units by the AAPC and ARHPC ***
This class is specifically designed for clinical personnel (MD, DO, NP, PA, RN), coders, billers, EHR professionals, facility and financial managers that work in RHCs, FQHCs and look-alikes to encourage building a shared foundation of knowledge. We will provide action Items and how to “get results” by working together through hands-on practice.
Why attend? With the recent requirement by CMS to require FQHCs to list all CPT and HCPCS-II codes – it has never been more important to make sure you are documenting and coding for 100% of what is done. Commercial payers probably don’t pay under the Medicare PPS system, so you have to bill them differently. If you aren’t documenting and coding correctly you may not be capturing everything that is done and some revenue may be left on the table! Your cost report is very tied to your professional coding practices – don’t undervalue and underreport what you do.
With IT finding its way into more areas of medical facilities the difference between clinical documentation, professional coding, and medical billing have never been more important.
Are you too dependent on IT instead of relying on well-trained and qualified staff? We will focus on the guidelines that appear before and after key coding sections that rarely are accessible to providers and coders/billers in their EHRs and encoder software.
We will limit the review of codes that will rarely or never be performed in your facility setting – and will focus on primary care visits, behavioral health, and preventive services.
We will be careful to get hands-on with over a dozen vital resources (including the CMS Benefits and Claims manuals) that outline the unique approach rural and community health needs to be aware of to stay compliant!
Recently, RHCs had to start listing all CPT and HCPCS-II codes performed on claims to Medicare for the first time in decades. Many RHCs are still learning to balance its AIR (“per diem”) Medicare system of getting paid with the huge billing variations when billing commercial carriers or Medicaid.
What is Covered & Agenda
How well do your clinical providers know the rules: Do your clinical providers know the documentation rules related to capturing the valuable services they provide? What type of training do they have on the differences between coding and billing? How long has it been since they received updates?
Does your facility have a full record of each service provided (CPT/HCPCS-II codes) and why they were done (ICD-10-CM codes) regardless of whether you get paid or not?
Are you generating all of the revenue that you are entitled to when billing non-Medicare/Medicaid payers?
Are you reporting quality measures related to Shared Savings, Risk Adjustment, HCCs, or other Quality Improvement programs?
Day 1 – Training and Hands-on Exercises 02/26/2020
9:30 a.m. –12:30 p.m.
- Overview of RHC and Small Hospital Coding Roles
- Documentation vs. Coding vs. Billing
- Orientation to CPT, HCPCS-II, ICD-10-CM
- Introduction to Risk Adjustment/HCC/HEDIS
- ICD-10-CM Official Guidelines Overview
12:00-12:45pm Lunch provided
12:45-2:00pm
- Individual/Group Diagnosis Exercises
- Review Major 2019 Changes in HIPAA code sets
- General Overview of Key E/M and HCPCS-II Codes
- Overview of Preventive Medicine Coding & Billing
2:00-5:00pm
- Reporting Minor Procedures to Different Payers
- CPT and HCPCS-II Modifiers – aka “Free Money”
- Review of Major Concepts – Build Action Items!
- Individual/Group Exercises for Generating Revenue
Day 2 – Training and Hands-on Exercises 02/27/2020
9:30am-12:00pm
- CPT and HCPCS-2 Modifiers (cont’d)
- Review of rural health procedural codes
- How to Audit Medical Records with Case Studies
12:00-12:45pm Lunch provided
12:45-2:30pm
- Documenting Preventive Medicine: a Deep Dive
- Review of Major Concepts – Build Action Items!
- Individual/Group Exercises on all Areas
Required Class Materials
- 2020 CPT manual (AMA’s Professional Edition strongly recommended)
- 2020 – Any publisher’s HCPCS-II manual
- 2020 – Any publisher’s ICD-10-CM manual
- Student Workbook with copy of slides and class exercises will be provided at class at no additional charge
CPT, ICD-10 & HCPCS should be available through your clinic or health system, however if you need to order you can do so at the following link: https://www.archprocoding.com/store/ListProducts.aspx?catid=737204&ftr=
If you order books from ArchProCoding please allow ample shipping time to you as coding manuals will not be brought by our team and they are required for class. Sharing manuals between 2-3 people from the same facility is fine.
CEUs (Continuing Education Units) – 11 CEUs Approved by ArchProCoding & AAPC
CME (Continuing Medical Education) Credits for MD, DO, NP, PA, RN: 11 CME Credits
*This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nevada, Reno School of Medicine and Association for Rural & Community Health Professional Coding. The University of Nevada, Reno School of Medicine is accredited by the ACCME to provide continuing medical education to physicians. The University of Nevada, Reno School of Medicine designates this live activity for a maximum of 11 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Earning the optional Rural or Community Health Coding and Billing Specialist (RH-CBS or CH-CBS) Certification:
Upon completing the live class authorized attendees will be able to take either the Rural and/or Community Health Coding and Billing 100 question online certification examination. The exam is scored immediately and if a score of 70% is achieved, a certification of Rural Health Coding & Billing Specialist (RH-CBS) Community Health Coding & Billing Specialist (CH-CBS) will be granted by the Association for Rural & Community Health Professional Coding.
Full attendance includes the live training sessions, a 90-day ArchProCoding membership (one year if you pass the optional exam), discounted access to a practice exam, and the optional testing fee.
Following the in-person class you will have discounted access to a 35 question practice exam with answer rationales provided plus the option to take an online examination to earn a certification as a Rural or Community Health – Coding & Billing Specialist (RH-CBS or CH-CBS).
Hotel rooms at the Wingate:
A block of room is available for Tuesday February 25th and Wednesday February 26th
Call the hotel to book: 803-957-5000 and mentioned that you are with the SC Office of Rural Health.
Refund Policy:
No refunds after 2/18/20 . No shows will not be given a refund. You may substitute another person. Please send name to tevepaugh@scorh.net.
*By registering, you agree that photos of you taken at the event may be used for social media and/or printed publications. If you do not consent, please contact Chrissy Hutchinson- chutchinson@scorh.net.