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      Medicare Boot Camp®—Rural Health Clinic Version in Portland

      • Medicare Boot Camp®—Rural Health Clinic Version Photo #1
      1 of 1
      November 12, 2020

      Thursday   8:00 AM - 5:00 PM (daily for 1 times)

      12048 Northeast Airport Way
      Portland, Oregon 97220

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      Medicare Boot Camp®—Rural Health Clinic Version

      Medicare Boot Camp®—Rural Health Clinic Version
      About this Event


      Course Overview

      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 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
      Medicare Boot Camp®—Rural Health Clinic Version

      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

      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.

      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
      Course Outline/Agenda

      Module 1: Medicare Overview, Contractors, Research, and Resources

      Overview of Medicare Part 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 2: Designation as a Rural Health Clinic (RHC) and 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 independent and provider-based RHC

      Module 3: Application of Medicare Coverage and the Advance Beneficiary Notice

      Medicare Coverage Center, including LCDs and NCDs, and Laboratory Manual

      Coverage of drugs, including self-administered drugs

      Coverage requirements for outpatient diagnostic services, including laboratory services

      Limitations of liability statute and notice requirements

      Advance Beneficiary Notice (ABN) form and instructions

      Module 4: General Billing Requirements for Rural Health Clinic (RHC) 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), chronic care management (CCM), and telehealth

      Module 5: Basic Reimbursement Principles for Rural Health Clinic (RHC) Services

      Identification of an "encounter" for payment purposes

      Basic all-inclusive rate (AIR) reimbursement methodology for provider-based and independent RHCs

      Application of upper payment limit for freestanding and provider-based RHCs

      Application of Part B deductible and coinsurance

      Module 6: Appendixes of Source Authority

      Key government documents to support appropriate billing

      Course Outline/Agenda subject to change.


      Coming Soon!

      Cost: 699.00

      Categories: Conferences & Tradeshows

      This event repeats daily for 1 times: Nov 12

      Event details may change at any time, always check with the event organizer when planning to attend this event or purchase tickets.

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