to become a Rural Health - Coding & Billing Specialist (RH-CBS), we urge clinical personnel (MD, DO, NP, PA, RN) to attend as well since clinical documentation is key to everything, as is building a shared foundation of knowledge.
Who needs training on RHC documentation, coding, billing, and quality reporting? Do your providers, managers, and coding/billing/quality staff have a shared foundation of knowledge?
- Do your clinical providers know the documentation rules related to capturing the valuable services they provide?
- How confident is senior management that the RHC is not under-valuing their "true costs" on the annual cost report? How long has it been since they received updates that are relevant to the unique needs of a Rural Health Clinic?
- Does your RHC have a full record of each service provided (CPT/HCPCS-II codes) and why they were done (ICD-10-CM codes)?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?
Why attend?
- With the recent requirement by CMS to require RHCs 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 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 are rarely 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 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 the 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?
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) Certification
- Upon completing the live class authorized attendees will be able to take the Rural 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 of the live training session includes a one-year membership if you pass the optional exam.
- Following the in-person class you will have access to a practice exam plus the option to take an online examination to earn a certification as a Rural Health - Coding & Billing Specialist (RH-CBS).
- Date/Times: March 25, 2025
- Times: 8:30am - 4:30pm CT
- Cost: $49 for RHA Organizational Members, $199 for RHA Individual Members & Non-Members *Limited scholarships available*
- Location: Lodge at Paris Landing, 400 Lodge Road, Buchanan, Tennessee
Register Here
*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 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.