You’re Invited! 

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

Required Class Materials:

• CPT manual (AMA’s Professional Edition strongly recommended)
• Any publisher’s HCPCS-II manual
• Any publisher’s ICD-10-CM manual
• A .pdf of the class slides will be emailed 1-2 days before class

*Complimentary Continental Breakfast and lunch provided on Wednesday. Complimentary Continental Breakfast provided on Thursday.

Why You Should Attend:

This 2-day workshop focuses on clinical documentation, coding, and billing for Rural Health Clinics (RHCs) and Federally Qualified Health Centers/Community Health Centers, allowing attendees to optionally earn the nation’s only RHC/FQHC-specific coding and billing credentials.

This Workshop course is designed to help revenue cycle staff pass an optional certification exam to become a Rural or Community Health Coding & Billing Specialist (RH-CBS or CH-CBS). Full attendance includes the training session, a 90-day ArchProCoding membership (one year if you pass the optional exam), access to a 20-question practice exam, and the full 100-question certification exam.

Additionally, it is designed to help facility leaders and MDs/PAs/NPs/CPs/CSWs understand how the unique rules surrounding RHC/FQHC documentation, coding, billing, and cost reports require careful attention, workflow adjustments, and a full awareness of key CMS resources that differ from those in traditional medical offices.

• Team-based training establishes a shared platform of knowledge that enables you to meet your clinical and business objectives.

• LEARN MORE TO EARN MORE!

Why Facility Leaders Should Attend:

Those clinical and business staff members who have worked in traditional medical offices in the past and have recently joined an RHC/FQHC notice that there are unique CMS billing rules that differ from Part B fee-for-service payment documentation and payment rules.

• Coordinate effective revenue cycle workflows to stay compliant and to facilitate the submission of a cost report that shows our true costs via consistent professional coding.

• Gain knowledge of how the insurance participation agreements we are bound to by Medicare/Medicaid/commercial insurance companies require differing billing approaches and claim forms.

Why Clinical Providers Should Attend:

This course is approved for 11 CMEs for providers as described more fully below.  We respectfully urge key clinical personnel (MD, NP, PA, RN) to attend as well, since the clinical documentation they enter into the medical record is the foundation for all professional coding and medical billing.

• Learn the guidelines from key source materials (i.e., CPT and ICD-10-CM) instead of EHR/IT short-cuts in order to distinguish the differences between coding and billing activities.

• Identify their responsibilities in how information moves from their mind to the medical record – how those services are subsequently coded to generate public health data and information for our cost report – and finally, how some codes may have to change (i.e., 99214>G2025) to meet various insurance company billing requirements.

By the end of the session, attendees will:

• Ensure they document and code 100% of all procedures in accordance with CPT, HCPCS-II, and ICD-10-CM guidelines.
• Increase their knowledge of the guidelines that appear before and after key coding sections in the AMA’s CPT, which are rarely accessible to providers and coders/billers in their EHRs and encoder software.
• Learn to report quality measures related to Shared Savings, Risk Adjustment, HCCs, or other Quality Improvement Programs.
• Help to generate 100% of the revenue that your organization is entitled to – but no more than is allowed.
• Help your facility have a full record of each service you provide (via CPT/HCPCS-II codes) and the reasons why they were done (via ICD-10-CM codes) for your annual cost report, regardless of whether you get paid.
• Understand how to bill for per diem and fee-for-service primary care visits, behavioral health, and preventive services to Medicare, Medicaid, and commercial payers.

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.