Community Search
Coding & Billing for Rural/Community Health: The Basics
Share |

Coding & Billing for Rural & Community Health: The Basics (4 CEUs)

 

 $100 off • Offer Expires 6/30/19 • Enter Coupon Code 100offJune at checkout 

Only $199.00 Reg. Price $299

 

Available on our eLearning site:


 

The Basics - Are you new to Rural or Community Health Coding & Billing? 

  1. This basics course is designed for providers, managers, and staff at Rural and Community (FQHC) health facilities who need a basic understanding of Coding & Billing.
  2. The core principles of creating medical documentation, 
  3. Reporting accurate and complete Quality Metrics,
  4. Turning the documentation into the CPT/HCPCS-II/ICD-10-CM codes, and formatting medical bills according to varying rules of insurance companies.

The following groups will benefit from the “101” approach:

Providers who create clinical documentation (e.g. MD/DO/PA/NP) and have been given some coding responsibilities with little to no previous education on what that entails.

Managers who hire staff, manage people and policies, supervise the coding/billing staff but have little to no education about how to speak the language of coding versus the language of billing and their impact on revenue and compliance.

Coders/billers who have come from "traditional provider offices or hospitals" and are new to the unique nature of documenting, coding, and billing Medicare for the services Community Health facilities.

 

Section Breakdown

Section 1 - Basic vs. Intermediate vs. Advanced Training

This 42-minute section can be viewed individually as a free stand-alone free educational session on YouTube or as section 1 of the 4 section "Coding & Billing for Rural/Community Health: The Basics" full course.  If you are newly associated with a HHS-certified Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC also known as community health center) you need to be aware of the very unique documentation, coding, and billing rules in order to stay compliant, generate revenue, and report accurate quality measures.

Section 2 - Rural and Community Health Basics

This 55-minute section outlines the foundational knowledge that is needed by clinical providers, managers, and coders/billers to understand how to follow rules set forth by the Centers for Medicare and Medicaid Services (CMS) in America's HHS-certified Rural Health Clinics (RHC) or Federally Qualified Health Centers (FQHC also known as community health centers).   Though intermediate and advanced training topics are discussed for self-study and research purposes - this section is designed for one who may be familiar with traditional medical office issues but not the unique world of RHC/FQHCs!

This section details issues and explains how to better understand items related to: 

  • when you should expect your Medicare AIR/PPS "encounter rate" versus fee-for-service,
  • who are authorized providers for insurance coverage, 
  • how to report services on both the CMS1450 and CMS1500 forms and when to "split bill,"
  • the impact of insurance type on documentation, coding, and billing.

Specific strategies are discussed on how to balance a health clinic's medical and business rules by being compliant with Medicare as well as with the often-confusing rules associated with billing commercial insurance plans that we participate with that have rules of their own!

Section 3 - Coding & Billing Basics

This 75-minute section is designed for those who may need to develop familiarity with the basic resources and concepts needed to understand how to manage or perform key job tasks related to documenting in an RHC/FQHC's medical records, capturing all (CPT, HCPCS-II, and ICD-10-CM) codes, and reporting services to insurers for payment or quality reporting purposes.  This section provides an overview to the intent and purpose of the key HIPAA-approved code sets, who maintains them, how often they are updated, and what impact do they have on Clinical Providers, Facility Managers, and Coders/Billers.

  • How are coding and billing different and why do we have to do both?
  • What is the role of the superbill/encounter form and how can we design one that is effective?
  • Why are electronic versions of the coding books (CPT, HCPCS-II, and ICD-10-CM) insufficient to help one understand coding and billing?
  • What are the basics of diagnostic coding and who is allowed to assign codes on a claim for payment?

Key action items are presented along with tips on how to make this kind of education get real results in your clinics!

Section 4 - Key Areas and What's Next

This quick 11-minute wrap-up section reminds you of how to organize your thoughts and the wealth of reference materials presented in the "Coding & Billing for Rural/Community Health: The Basics" course.  Career development issue are discussed to help you move onward in your educational journey whether you are a clinical provider, facility manager, or coder/biller.  Key basic, intermediate, and advanced items are shared that help identify what everybody in your facility needs designed to: 

  • create effective clinical documentation, 
  • perform complete professional coding functions, and 
  • get paid everything you are entitled to but no more than you are allowed through proper medical billing.

Specific action items are presented to help you get results that matter as well as identifying what you may need to move forwards towards a certification as a Rural or Community Health - Coding & Billing Specialist (RH-CBS or CH-CBS) or just to Learn More to Earn More!

CEUs - Complete all course videos for 4 CEUs approved by the Association for Rural & Community Health Professional Coding & AAPC

 Available on our eLearning site

 

more Calendar

6/26/2019 » 6/27/2019
2019 Mississippi Rural & Community Health Documentation, Coding & Billing Bootcamp

7/15/2019 » 7/16/2019
2019 Missouri Coding & Billing for Critical Access Hospitals

Featured Members

© ARHPC | All Rights Reserved

ARHPC is a division of Universal Medical & Compliance, LLC
P.O. Box 1405 Tucker, GA 30085

Education :: Certification :: Audit Support

 

Membership Management Software Powered by YourMembership  ::  Legal