You’re Invited! 

Who Should Attend:
FQHC Revenue Cycle Staff, Facility Leaders, Providers, and Clinical Staff

Why You Should Attend:

This webinar focuses on clinical documentation, coding, & billing for Federally Qualified Health Centers/Community Health Centers (aka FQHCs) and allows attendees to optionally earn the nation’s only FQHC-specific coding and billing credentials.

By the end of the session, attendees will:

1. Deliver an overview of the documentation, coding, reporting, and reimbursement issues that impact providers in and HHS-certified Federally Qualified Health Centers related to the CPT, HCPCS-II, and ICD-10-CM.
2. Outline the vital distinctions between clinical documentation protocols vs. professional coding rules vs. varying requirements of insurance payers vs. reporting accurate quality metrics (if required by payers).
3. Identify solutions to the inherent limitations of EHR and billing software with a goal to increase revenue, facilitate quality reporting, and decrease audit risk.
4. Provide detailed instruction on the AMA’s and CMS Evaluation & Management documentation guidelines and the distinction between proper reporting of “Sick” and “Well” visits and when they can both be reported on the same encounter.
5. Identify the CMS-covered Preventive Services including the Initial Preventive Physical Exam, Annual Wellness Visits, and other covered preventive services Medicare will cover on a periodic basis.
6. Review key areas of the “ICD-10-CM Official Guidelines for Coding and Reporting” in the context of the revenue cycle and quality care reporting including the Social Determinants of Health.
7. Identify how different payers may want a health center to bill for minor surgical procedures using different definitions of the “global surgical package.”
8. Compare/contrast traditional Telehealth versus Virtual Communication Services.
9. Outline Care Management revenue options including Principal/Chronic Care Management, Transitional Care Management, Behavioral Health Integration, and the Psychiatric Collaborative Care Model.
10. Gathering and Reporting (SDOH) Social Determinants of Health codes

Presented by:

John Burns – CPC, CMPA, CEMC, CH-CBS, RH-CBS VICE PRESIDENT OF AUDIT & COMPLIANCE SERVICES

John Burns has worked in the healthcare arena for more than 25 years and focuses his efforts on clinical documentation improvement, correct coding, optimization of the revenue cycle and managing compliance risk for the healthcare business.  His current focus with the Arch Pro Coding centers on providing documentation and coding reviews for clients all across the United States.

REGISTER

For questions or concerns, please reach out to Dara Stout at dstout@lpca.net.