2022 Critical Access Hospital and Rural Health Clinic Reimbursement Virtual Symposium - On-Demand

Now Available On-Demand.

Critical access hospitals (CAH) and rural health clinics (RHC) are still facing challenges from the COVID-19 pandemic that strain their resources. Unique Medicare coding and billing requirements, a typically older and sicker patient population, and staffing shortages can make accurate documentation and reimbursement difficult even in the best of times.

The 2022 Critical Access Hospital and Rural Health Clinic Reimbursement Virtual Symposium - On-Demand presents the latest strategies for managing Medicare policies, letting your whole team get on the same page without leaving the office. In just two days, experts will cover how to create a compliance program for this unique setting, how to optimize documentation and coding for preventive care visits, and other key topics.

*Attendees will also receive 60-day access to the on-demand recording of this course.

2022 Critical Access Hospital and Rural Health Clinic Reimbursement Virtual Symposium - On-Demand

Agenda

DAY 1

45 minutes
Telehealth Coding and Billing for CAHs
Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS

Most providers were reluctant to utilize telehealth services prior to COVID-19. But after the pandemic hit, many of them had no choice. What will the future bring? What is allowed in 2022? This session will cover the latest and greatest information from CMS related to telehealth services and applicable state-level guidelines.

45 minutes
Compliance Programming for the Critical Access Hospital
Rachel Pugliano, RHIT, CHC

Compliance programs are challenging throughout healthcare, but the CAH environment presents some unique considerations. This session will cover the elements of a compliance program, how to develop a meaningful work plan, how to set reasonable expectations, and how to assess effectiveness.  

30 minutes
Demo

45 minutes
PHE Waivers and Flexibilities: Predicting the Future
Judith L. Kares, Esq.

The COVID-19 public health emergency (PHE) brought with it a host of waivers and flexibilities from CMS. As we near a potential end to the PHE, this session will review those waivers and flexibilities and their potential impact on future healthcare policy.

45 minutes
Chronic Care, Transitional and Primary Care Management, and Advanced Care Planning
Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS, and Jennifer Campbell, CMPE, CPC, CPB

CAHs and RHCs can bill for care management services to provide a variety of options for quality care. This session will review the new codes for primary care management, changes for chronic care management, and when transitional care can be provided. It will discuss time and documentation requirements. The session will also highlight the requirements for advanced care planning and how providers can report these services.

30 minutes
Recorded Q&A
Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS, Jennifer Campbell, CMPE, CPC, CPB, Judith L. Kares, Esq., and Rachel Pugliano, RHIT, CHC

Join our speakers for a recorded Q&A where attendees asked questions from the day’s sessions.

DAY 2

45 minutes
340B Drug Reporting in CAHs and Handling HRSA Audits
Cheryl Hetland, MA, 340B ACE, PTCB Certified Pharmacy Technician

This session will provide you with the current legislative and regulatory landscape along with the critical information you need to comply with the complex and evolving rules and guidelines. Additionally, this session will help entities gain tools needed to operate effective and efficient 340B programs. We will review the current Health Resources and Services Administration (HRSA) audit process and provide best practices for audit readiness.

45 minutes
Preventive Care Visits: Effective Documentation, Coding, and Billing
Susan Rohde, RHIT, CCS-P, CPC

This session will cover the complexities surrounding Medicare’s preventive coding and documentation guidelines. It will focus on the Initial Preventative Physical Exam (IPPE) and both the initial and subsequent Annual Wellness Visits (AWV). Recent comparative billing reports have increased the scrutiny of these codes, so it is important to have proper documentation in the event of a payer review.

45 minutes
Reporting Incident-To Services and Other Visits in CAHs and RHCs
Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO

Patient visits are a common and high-volume service at CAHs and RHCs. But the type of visit and services provided can determine how to report the claim—as well as which provider to bill. This session will review 2022 Medicare coverage and billing for preventive services, mental health visits, and other types of special services, as well as delving into incident-to billing and related staffing requirements.

45 minutes
Applying Condition Codes 44 and W2 in CAHs
Kimberly A. Hoy, JD, CPC

Condition codes 44 and W2 allow facilities to recover reimbursement for Medicare patients incorrectly admitted as inpatients. Understanding the differences can help CAHs leverage their limited resources to get compliant reimbursement. This session will review the advantages and disadvantages of condition codes 44 and W2 so CAHs can determine how to best deploy their resources when making status changes.

30 minutes
Recorded Q&A
Cheryl Hetland, MA, 340B ACE, PTCB Certified Pharmacy Technician, Kimberly A. Hoy, JD, CPC, Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, and Susan Rohde, RHIT, CCS-P, CPC

Join our speakers for a recorded Q&A where attendees asked questions from the day’s sessions.

2022 Critical Access Hospital and Rural Health Clinic Reimbursement Virtual Symposium - On-Demand

Who Should Attend?

• Setting: Healthcare
• Titles:
  • RHC practice managers
  • Business office managers
  • Operations managers
  • Revenue cycle managers/directors and staff
  • Billers
  • Coders
  • Compliance officers
  • HIM managers/directors
  • Revenue integrity professionals
  • Physician practice billers and coders
  • Physician practice administrators

2022 Critical Access Hospital and Rural Health Clinic Reimbursement Virtual Symposium - On-Demand

Learning Objectives

At the completion of this educational activity, the learner will be able to:

• Discuss which codes remain on the CMS telehealth approved list and can continue to be billed via telehealth
• Describe compliance in the critical access hospital setting
• Identify waivers and flexibilities introduced during the PHE
• Identify codes used to report primary care management services
• Explain 340B drug regulatory rules in CAHs
• Describe Medicare coverage and billing requirements for a medical visit and mental health visit
• Define condition codes 44 and W2

2022 Critical Access Hospital and Rural Health Clinic Reimbursement Virtual Symposium - On-Demand

Speakers

	Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS, is the director of coding and revenue integrity at the healthcare consulting group CliftonLarsonAllen LLP. She is an AHIMA-approved ICD-10-CM trainer specializing in physician practices and outpatient hospitals and also has experience in HIM, chargemaster, and coding, especially working with CAHs and RHCs. She has more than 33 years of experience in healthcare and medical records management, coding, auditing, and compliance in the hospital, outpatient, and physician settings. She continues to do both regional and national presentations for groups such as AHIMA, HCCA, and AAPC, as well as others.
	Jennifer Campbell, CMPE, CPC, CPB, is a senior healthcare consultant at CliftonLarsonAllen LLP. Previously, she spent 20 years in rural healthcare as the business office manager for a family practice clinic and CAH. Campbell has knowledge and experience in coding and billing, payer credentialing, staff evaluation and training, operations, and collaborative and educational efforts with providers. She assisted with the merger between the hospital and clinic she was employed at. She was also an integral part of the Cerner EMR project management team and assisted in the implementation process across both hospital and clinic.
	Cheryl Hetland, MA, 340B ACE, PTCB Certified Pharmacy Technician, is a healthcare director at CliftonLarsonAllen LLP. Hetland specializes in pharmacy operations and business management. She provides compliance, strategy, operations, and finance consulting for healthcare providers and government entities. She is 340B Apexus certified and provides auditing and consulting services to 340B-eligible covered entities. Before joining CliftonLarsonAllen, she provided specialized consulting support to government and public sector healthcare programs implementing pharmacy and managed-care initiatives.
	Kimberly A. Hoy, JD, CPC, is the director of Medicare and compliance for HCPro. She is a lead regulatory specialist and lead instructor for HCPro’s Medicare Boot Camp®—Hospital Version and Medicare Boot Camp—Utilization Review Version. She is also an instructor for HCPro’s Medicare Boot Camp—Critical Access Hospital Version. Hoy is a former hospital compliance officer and in-house legal counsel, and has 10 years of experience teaching, speaking, and writing about Medicare coverage, payment, and coding regulations and requirements.
	Judith L. Kares, Esq., has considerable experience interpreting and applying Medicare rules and regulations and is an instructor for HCPro’s Medicare Boot Camp—Hospital Version. She spent a number of years in private law practice, representing hospitals and other healthcare clients, and then served as in-house legal counsel for two large third-party payers. For the past 25 years she has continued to provide legal and related compliance services on a consulting basis. These services include development of strategic compliance programs; creation of appropriate compliance documents (e.g., codes of conduct, corporate policies and procedures); creation of reporting mechanisms; development of training and communication plans, including related materials; research and advice regarding specific risk areas; and development of corrective action plans.
	Rachel Pugliano, RHIT, CHC, healthcare consulting senior manager with Eide Bailly LLP, has over 20 years of experience focusing on the middle revenue cycle, including coding, documentation integrity, and charge capture. Pugliano assesses the overall health and capabilities of an organization’s revenue cycle functions, develops coding compliance and documentation improvement strategies for hospitals and medical group practices, and provides internal coding compliance and charge capture assistance to improve coding and charge accuracy. Pugliano is a member of AHIMA and HCCA, and is on the board for the South Texas HFMA chapter serving as programs chair.
	Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, is a regulatory specialist for HCPro. He is the lead instructor for the Revenue Integrity and Chargemaster Boot Camp. Rivet also instructs the Medicare Boot Camp—Hospital Version, Critical Access Hospital Version, and Rural Health Clinic Version. He is an expert speaker on HCPro’s webinars and at national conferences on reimbursement topics. In addition, he is a practicing attorney with a focus on healthcare reimbursement and more than 20 years of experience in healthcare operations. Previously, Rivet worked in community hospitals, large medical groups, and one of the nation’s largest integrated delivery systems.
	Susan Rohde, RHIT, CCS-P, CPC, healthcare consulting senior manager with Eide Bailly LLP, has more than 25 years of healthcare experience with an emphasis on professional coding. She specializes in interventional radiology coding, surgical coding, and coding for inpatient hospital and outpatient clinic accounts. Rohde also provides proper evaluation and management (E/M) codes to obtain accurate reimbursement, with a focus on the new 2021 E/M guidelines and preventative documentation guidelines.

2022 Critical Access Hospital and Rural Health Clinic Reimbursement Virtual Symposium - On-Demand

Pricing

Retail price: $399.00
NAHRI Membership price: $379.00

Group pricing is as follows:

• 4-10 attendees = each attendee receives 10% discount off retail price
• 11-15 attendees = each attendee receives 15% discount off retail price
• 16-20 attendees = each attendee receives 20% discount off retail price
• 21 or more attendees = each attendees receive 25% discount off retail price

2022 Critical Access Hospital and Rural Health Clinic Reimbursement Virtual Symposium - On-Demand

Continuing Education

ACDIS
This program has been approved for 7 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).

Ability to claim credits for this webinar expires on: 4/11/2023

AHIMA
This program has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

Ability to claim credits for this event expires on: 4/11/2023

NAHRI
This program has been approved for 7 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Ability to claim credits for this webinar expires on: 4/11/2023