Rural Health Clinics: Understanding the Impact of the New Reporting Requirements -
Thursday, August 18, 2016
Debbie Mackaman, RHIA, CPCO, CCDS
Medicare Boot Camp®—Rural Health Clinic Version
As of April 1, rural health clinics (RHC) must report revenue codes and HCPCS codes and charges for all services on separate lines outside of the qualifying visit line—a significant change to RHC billing. Proper reporting of revenue codes, HCPCS codes, and charges for qualifying visits, items, and services is now more important than ever.
During the program, expert speaker Debbie Mackaman, RHIA, CPCO, CCDS, will discuss this challenging regulatory change and its supporting CMS guidance, cover how to operationalize the change, and review the change’s potential impacts. Mackaman will help participants understand the basic billing requirements of an RHC, comprehend the changes to the requirements, identify new reporting requirements, and pinpoint financial implications and compliance risks.
At the conclusion of this program, participants will be able to:
- Understand the purpose of an RHC and the impact of the required reporting
- Identify the new CMS reporting requirements for RHCs
- Describe the latest changes to the CMS requirements and guidance effective for dates of service April 1–September 30, 2016 and effective for claims filed on or after October 1, 2016
- Illustrate the financial implications and compliance risks related to the new reporting
- The new required reporting for RHCs and its relationship to services provided in an RHC
- How the new requirements affect regulations for services furnished by or incident to a physician, physician assistant, nurse practitioner, or certified nurse midwife
- How the new requirements affect regulations for services provided by or incident to a clinical psychologist or clinical social worker
- Qualifying visits and the relationship to payment under the all-inclusive rate (AIR)
- Locating related billing information for qualifying visits
- Billing for preventive services with or without a qualifying visit
- Services excluded from RHC benefits
- Billing for various services provided in an independent or provider-based RHC
- Incident-to requirements
- Services other than medical or mental health visits that may trigger an AIR
- The financial implications of certain qualifying visits for RHCs and their beneficiaries
- Different reporting requirements based on date of service, including delayed payment through September 30, 2016
- Appropriate use of modifier -CG beginning October 1, 2016
- Identifying potential problems to prevent payment delays
- Q&A (not live)
(Live and On-Demand) - This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. (Ability to claim CEH’s for this webcast expire on: 8/17/2017)
(Live and On-Demand) This program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (Ability to claim CEU’s for this webcast expire on: 8/17/2017)
Who Should Attend
- Rev cycle managers/directors/staff
- HIM managers/directors
- Revenue integrity professionals
- Physician practice billers and coders
- Physician practice administrators
Revenue Code “cheat sheet”
Meet the Speaker
Debbie Mackaman, RHIA, CPCO, CCDS, is the developer and lead instructor for HCPro’s Medicare Boot Camp®—Critical Access Hospital Version and Rural Health Clinic Version and an instructor for the Hospital Version and Utilization Review Version. She serves as a regulatory specialist for HCPro’s Medicare Watchdog services, specializing in regulatory guidance on coverage, billing, and reimbursement for hospitals, physicians, and other healthcare providers. Mackaman has over 24 years of experience in the healthcare industry, including expertise in conducting coding and billing compliance audits, performing charge description master reviews and maintenance, and providing oversight of documentation improvement programs. She has served as compliance officer and director of health information services for healthcare systems, and is a nationally recognized speaker on a variety of compliance topics for national and local organizations and revenue cycle events.
Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:
Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices
Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.
COULDN'T LISTEN LIVE?
No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value!
Participation in this webinar is just $259 per site. All materials must be retrieved from the Internet.
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