ENROLL NOW

• Day 1: March 12: 9:00am to 3:00pm
• Day 2: March 13: 9:00am to 12:00pm

*Breaks will be given in the morning, lunchtime, and afternoon.

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

This Bootcamp 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 live/virtual training sessions, a 90-day ArchProCoding membership (one year if you pass the optional exam), access to a 20-question practice exam, and access to the full certification exam.

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

• Team-based training creates a shared platform of knowledge that will help you meet your clinical and business goals.

• LEARN MORE TO EARN MORE!

Why Should Facility Leaders Also Attend?

Those clinical and business staff members who have worked in traditional medical offices in the past, and have recently joined a 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 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 requires differing billing approaches and claim forms.

Key Takeaways

• To make sure you are documenting and coding for 100% of what is done based on the CPT, HCPCS-II, and ICD-10-CM guidelines.

• 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.

• Help your facility have a full record of each service you provide (via CPT/HCPCS-II codes) and why they were done (via ICD-10-CM codes) for your annual cost report regardless of whether you get paid or not.

• To help you generate 100% of the revenue that you are entitled to – but no more than you are allowed.

• Learn to reporting quality measures related to Shared Savings, Risk Adjustment, HCCs, or other Quality Improvement Programs.

• Increase your knowledge of the guidelines that appear before and after key coding sections in the AMA’s CPT that rarely are accessible to providers and coders/billers in their EHRs and encoder software.

Basic Agenda

• Documentation vs. Coding vs. Billing

• Introduction to RHC/FQHCs – What Makes Us Different?

• Key CMS References + Using the CMS 1450/1500 Forms

• Billing for Various Payment Systems (FFS vs. Per Diem)

• Treat and Document Visits – A Focus on E/M

• AMA/CMS Requirements for Documentation in the CPT

• Overview of Preventive Medicine services and CMS-covered Preventive G-codes

• Telehealth versus Virtual Communication Services

• Care Management (i.e., CCM, TCM, PCM, BHI, Psych CoCM)

• Code the Full Encounter for Patients, Cost Reports, and Billing

• Review of the various definitions of the "surgical/global package" – AMA/CMS/commercial

• Documenting for Quality Care Reporting and CPT Category II

• Documenting and Coding for Procedures in the CPT

• Review of the “2024 ICD-10-CM Official Guidelines for Coding and Reporting”

• Z-codes and the Social Determinants of Health

• Free Coding Tools for Billing via RBRVS

• Bundling and Claim Scrubbing via the NCCI

• When do we need to use Modifiers?

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

Earning the Certification

A few days after completing the live/virtual class, authorized attendees will be able to take the 100 question online certification examination over a 24 hour period. The exam is scored immediately and a score of 70% must be achieved to earn the credential. An annual membership fee and 8 CEUs are required each year to maintain the credential.