Boot Camps

Live Virtual Medicare Boot Camp®—Rural Health Clinic Version

Course Overview

Understand the regulatory and reimbursement issues rural health clinics face

The Live Virtual Medicare Boot Camp®—Rural Health Clinic Version is a one-day intensive course on Medicare coverage, coding, billing, and payment for rural health clinics (RHC). It gives you the knowledge and tools to find the answers to your most compelling Medicare billing questions pertaining to this unique setting. 

This one-of-a-kind, custom class will show you which rules apply to you so you can successfully process claims and get paid without disruption to your revenue stream. It will also teach you how to research Medicare regulations to resolve billing issues and respond to denials and audits.

The Live Virtual Medicare Boot Camp—Rural Health Clinic Version will give you the knowledge and confidence to:

• Find the answers to your specific Medicare questions relating to RHCs
• Understand reporting of revenue codes, HCPCS codes, and related charges for all services provided
• Submit accurate claims to Medicare, including independent and provider based RHCs
• Ensure appropriate reimbursement from Medicare and application of the patient’s financial responsibility

Leave this Boot Camp with an understanding of:

• Where to look for Medicare guidance and how to interpret rules relevant to your business to submit claims and get paid
• The ways you can prepare your organization to handle denials and audits

Who should attend?

• Billing specialists
• Coding specialists
• Provider-based RHC personnel
• Chargemaster coordinators and managers
• Clinic managers and department heads
• Compliance officers
• Finance and reimbursement managers
• Healthcare consultants, CPAs, and lawyers
• Health plan financial analysts, claims processing, and provider relations professionals
• HIM directors and managers
• Medicare administrative contractors
• Patient access/admitting staff
• Auditors and analysts
• Chief financial officer

See the HCPro difference for yourself!

Focus on the actual rules: Learn how to find and apply CMS rules and guidelines to ensure hospital services furnished to Medicare beneficiaries are billed accurately and appropriately.

Tools and skills to navigate Medicare rules: Our instructors provide valuable tools and resources that will help you prioritize and research Medicare questions long after the Boot Camp ends.

Hands-on learning: Attendees are provided a set of exercises after each module to ensure they understand the concepts and know how to apply them to real-world situations.

Small class size: A low participant-to-teacher ratio is guaranteed.

Highly rated, well-established program: Participants consistently give the course an overall rating of 4.75 or higher (on a 5.0 scale).

How does the Live Virtual Medicare Boot Camp®—Rural Health Clinic Version work?

Class is held Wednesday – Thursday for 1 week from 12:30 p.m. – 4:30 p.m. Eastern Time (2 classes).

Please Note: Four days before class starts, you will receive a welcome email that includes the dial-in information for the class.

Class is held Wednesday – Thursday from March 13 – March 14. Registration cut-off date: 3/6/2024

Class is held Wednesday – Thursday from August 14 – August 15. Registration cut-off date: 8/7/2024

Class is held Wednesday – Thursday from November 13 – November 14. Registration cut-off date: 11/6/2024

For more information about our Boot Camps, contact us at 800-650-6787 or email sales@hcpro.com.

Live Virtual Medicare Boot Camp®—Rural Health Clinic Version

Course Outline/Agenda

Module 1: Designation as a Rural Health Clinic, including Required Practitioners and Services

• Definition and purpose of an RHC
• Certification criteria, including location, staffing, and required services
• Basic requirements for services furnished by RHC practitioners or incident to an RHC practitioner, including requirements for direct supervision
• Services that are excluded from the RHC benefit
• Distinguish between an indpendent and provider-based RHC

Module 2: General Billing Requirements for Rural Health Clinic Services

• Claims processing requirements, including type of bill, revenue codes, HCPCS codes, modifiers, and charge reporting
• Coverage and billing for a medical visit and mental health visit
• Coverage and billing for preventive services
• Coverage and billing for special services, including diagnostic services, vaccines, injections, and other incident to services
• Coverage and billing for laboratory services
• Special circumstances for billing transitional care management (TCM), general care management, psychiatric collaborative care model (CoCM), virtual communication services (VCS), and telehealth
• RHC practitioners and Appropriate Use Criteria (AUC)

Module 3: Basic Reimbursement Principles for Rural Health Clinic Services

• Identification of a qualifying visit for payment purposes
• Basic all-inclusive rate reimbursement methodology for provider-based and independent RHCs
• Application of upper payment limit
• Application of Part B deductible and coinsurance

Module 4: Supplemental Review of Medicare Contractors, Research, and
Resources

• Overview of Medicare Parts A, B, C, and D
• Role of Medicare contractors
• Medicare source laws, including statutes and regulations
• Medicare sub-regulatory guidance, including manuals and transmittals
• Links to Medicare information and resources for staying current

Module 5: Supplemental Review of Medicare Coverage Guidance and the Advance
Beneficiary Notice

• Medicare Coverage Center, including NCDs, LCDs, and Laboratory Manual
• Coverage of drugs, including self-administered drugs
• Limitations of liability statute and notice requirements
• Advance Beneficiary Notice (ABN) and instructions

Module 6: Appendices of Source Authority

• Key government documents to support appropriate billing

*Course outline/agenda subject to change.

Live Virtual Medicare Boot Camp®—Rural Health Clinic Version

Schedule

March — Class Schedule (Eastern time)

August — Class Schedule (Eastern time)

November — Class Schedule (Eastern time)

Live Virtual Medicare Boot Camp®—Rural Health Clinic Version

Questions/Answers

What is the focus of the Live Virtual Medicare Boot Camp®—Rural Health Clinic Version?
The Medicare Boot Camp—Rural Health Clinic Version is a one-day intensive course on Medicare coverage, coding, billing, and payment for rural health clinics. It gives you the knowledge and tools to find the answers to your most compelling Medicare billing questions pertaining to this unique setting. 

This one-of-a-kind, custom class will show you which rules apply to your setting so you can successfully submit claims and get paid appropriately. It will also teach you how to research Medicare regulations to prepare you for resolving billing issues and responding to denials and audits.

Does this course prepare participants for coding certification?
The Live Virtual Medicare Boot Camp®—Rural Health Clinic Version contains an overview of pertinent coding issues as they relate to Medicare coverage, billing, and payment; however, the course is not designed as a coding course. HCPro does offer two courses focused on coding fundamentals. The Certified Coder Boot Camp®—Original Version focuses on coding for physician and hospital outpatient services. The Certified Coder Boot Camp®—Inpatient Version focuses on hospital inpatient facility services. These courses may assist participants in preparation for national coding certification. For more details, please review the information for these courses using the links above, or contact customer service at customer@simplifycompliance.com or 800-650-6787. 

Does HCPro offer on-site Medicare Boot Camps?
In addition to our open registration courses, we also offer the Medicare Boot Camp as an on-site program (with a substantial discount) for organizations that have a number of employees who need training. For more information on hosting an on-site, call 800-780-0584 or click on "Train Groups On-Site." 

What if I need to cancel or transfer my registration?
Cancellation Policy
Please click here to view our cancellation policy.

Who typically attends a Medicare Boot Camp?

• Finance and reimbursement personnel
• Billers and coders
• Medical records/health information personnel
• Clinical department personnel
• Case managers
• CDI professionals
• Provider-based RHC personnel
• Recovery Auditor/RAC coordinators
• Compliance officers and auditors
• Revenue managers
• Chargemaster personnel
• Fiscal intermediary personnel
• Registration personnel
• Legal department personnel

What material does the course cover?
To view the course outline, click on "Course Outline" above.

Does the course require any previous experience or training?
No. The course starts with Medicare fundamentals and does not assume that participants have any particular background or experience with coding, billing, and reimbursement. However, because of the fast-paced nature of the course, it is recommended (but not required) that participants have at least one year of experience working in a rural health clinic setting. 

How is the course taught?
The course is taught using a combination of lecture, class discussion, and case studies. hands-on exercises.

What do I need to bring to class?
When you arrive at class, you will receive an extensive notebook of course materials. In addition, please bring the following to all classes:

• A highlighter
• A notebook for taking notes
• Sticky notes/flags
• A pen/pencil

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies?
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as "Do Not Share." 

How do I get more information? 
Contact us at 800-650-6787 or email sales@hcpro.com.

Live Virtual Medicare Boot Camp®—Rural Health Clinic Version

Learning Objectives

At the conclusion of this educational activity, participants will be able to: 

• Locate key sources of Medicare authority on the Internet
• Explain the definition of an RHC and the criteria for certification 
• Describe covered RHC services provided by physicians, physician assistants, nurse practitioners, clinical nurse midwives, clinical psychologists, and social workers, as well as services provided “incident to” 
• Explain billing requirements related to medical visits, preventive services, laboratory services, and other special services offered by RHCs 
• Identify what constitutes an “encounter” for payment purposes
• Explain the AIR payment in independent and provider-based RHCs, including the application of Medicare Part B deductible and coinsurance

Continuing Education

AAPC
This program has prior approval of the AAPC for 7.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the AAPC of the program, content or the program sponsor.

ACDIS
This program has been approved for 7.5 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).

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.

ANCC
HCPro is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. 
This activity is available for 22.5 nursing contact hours.

CCMC
This program has been pre-approved by the Commission for Case Manager Certification to provide continuing education credit to CCM board certified case managers. The course is approved for 7.5 CE contact hours.

NAHRI
This program has been approved for 7.5 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).

Disclosure Statement:
HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity.