This two-day LIVE VIRTUAL boot camp focuses on clinical documentation, coding and billing for Rural Health Clinics (RHCs) and Community Health Centers (FQHCs), and allows attendees who choose to use their webcam to have smooth and natural live Q&A sessions with the instructor.
Day 1: Tuesday, April 6: 9:00 a.m.-4:30 p.m.
Day 2: Wednesday, April 7: 9:00 a.m.-1:00 p.m.
*Breaks will be given in the morning, lunchtime, and afternoon.
Cost: $125.00 for the 2-day class and optional exam. If you are one of our SHIP hospitals, please ask Britton (firstname.lastname@example.org) about additional savings.
Course description: Though this class is designed to help facility managers and revenue cycle staff to pass the optional certification exam to become a Rural Health – Coding & Billing Specialist (RH-CBS) or a Community Health Coding & Billing Specialist (CH-CBS) we urge clinical personnel (MD, DO, NP, PA, RN) to attend as well since clinical documentation is key to everything.
Who Needs Training on RHC/FQHC documentation, coding, billing, and quality reporting? 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.
- With the recent requirement by CMS to require RHCs/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 closely 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 differences 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 providers need 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?
- 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?
Required Class Materials
- CPT manual (AMA’s Professional Edition strongly recommended)
- Any publisher’s HCPCS-II manual
- Any publisher’s ICD-10-CM manual
- Class Slides – 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 here. 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
Earning the optional Rural Health Coding and Billing Specialist (RH-CBS) or Community Health Coding and Billing Specialist (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) 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 Health – Coding & Billing Specialist (RH-CBS).