Are you looking to optimize your Rural Health Clinic’s (RHC) financial health and ensure compliant operations? In the evolving landscape of healthcare, mastering Rural Health Care Coding and billing is no longer optional – it’s essential. Whether you’re a seasoned administrator, a dedicated clinician, or a vital member of the revenue cycle team, a comprehensive understanding of these processes is crucial for your RHC’s success.
This specialized training, offered in both a dynamic live bootcamp and a flexible online self-study format, is designed to equip your team with the expertise needed to navigate the complexities of RHC documentation, coding, and billing. We empower your staff to not only meet but exceed industry standards, ensuring accurate reimbursement and maximizing your clinic’s revenue potential.
ONLINE SELF-STUDY
LIVE TRAINING EVENTS
Building a Foundation of Shared Knowledge in Rural Health Care Coding
Imagine a scenario where every member of your RHC team – from physicians and nurses to billers and coders – operates with a unified understanding of documentation, coding, and billing best practices. This shared knowledge base is the cornerstone of a thriving RHC.
Ask yourself:
- Does your RHC team, including providers, managers, and billing staff, possess a consistent and up-to-date understanding of rural health care coding and billing?
- Are your clinicians fully aware of the specific documentation requirements necessary to accurately reflect the valuable services they provide to your rural community?
- Is your senior management confident that your annual cost report truly captures the “true costs” of operating your RHC, ensuring you aren’t undervaluing your essential services?
- Do you have a complete and accurate record of every service provided at your clinic, utilizing the correct CPT/HCPCS-II and ICD-10-CM codes to justify medical necessity and ensure appropriate reimbursement?
- Are you maximizing your revenue potential with non-Medicare and Medicaid payers by employing optimal rural health care coding and billing strategies?
- Is your RHC actively and accurately reporting quality measures for programs like Shared Savings, Risk Adjustment, and HCCs, demonstrating your commitment to quality improvement?
If you answered “no” to any of these questions, this specialized training in rural health care coding and billing is the solution your RHC needs.
Who Will Benefit from This Rural Health Care Coding Training?
This comprehensive class is specifically tailored for all professionals working within Rural Health Clinics. We encourage participation from:
- Clinical Personnel (MDs, DOs, NPs, PAs, RNs): Understand how precise clinical documentation directly impacts accurate rural health care coding and appropriate billing.
- Medical Coders and Billers: Enhance your skills and stay updated on the latest RHC-specific coding and billing guidelines.
- EHR Professionals: Learn how to optimize your Electronic Health Record system to support accurate documentation and efficient coding workflows.
- Facility and Financial Managers: Gain insights into the financial implications of rural health care coding and billing practices to improve revenue cycle management.
Our training emphasizes hands-on practice and collaborative learning, providing actionable strategies and tools that your team can implement immediately to “get results.”
Why Invest in Rural Health Care Coding Expertise?
The healthcare landscape is constantly evolving, and Rural Health Clinics face unique challenges. Recent changes, such as the CMS requirement for RHCs and Federally Qualified Health Centers (FQHCs) to list all CPT and HCPCS-II codes on claims, underscore the critical need for accurate and comprehensive documentation and coding.
It is essential for attendees of a Rural Health Coding & Billing Bootcamp to actively participate in learning sessions to fully grasp the complexities of rural health care coding.
Consider these key reasons to attend:
- Maximize Revenue: Are you capturing 100% of the services your RHC provides? Incorrect documentation and coding can lead to underbilling, leaving valuable revenue on the table, especially with commercial payers who do not adhere to the Medicare Prospective Payment System (PPS). Accurate rural health care coding ensures you are billing appropriately for every service.
- Optimize Cost Reporting: Your RHC’s cost report is directly linked to your professional coding practices. Underreporting services due to inadequate coding can negatively impact your reimbursement and undervalue the vital work your clinic performs.
- Navigate the Digital Age: As technology integrates further into healthcare, understanding the distinct roles of clinical documentation, professional coding, and medical billing becomes even more critical. Don’t become overly reliant on IT solutions; empower your staff with the fundamental knowledge of rural health care coding and billing.
- Master Essential Guidelines: We go beyond basic code review, delving into the crucial guidelines preceding and following key coding sections – information often missed within EHRs and encoder software.
- Focus on Relevant Services: Our training is laser-focused on the services most commonly provided in RHC settings, including primary care visits, behavioral health services, and preventive care. We avoid wasting time on codes rarely encountered in your daily practice.
- Hands-On with Vital Resources: We provide practical, hands-on experience with over a dozen essential resources, including CMS Benefits and Claims manuals, ensuring your team is equipped to navigate the unique regulatory landscape of rural and community health and maintain compliance.
- Adapt to Billing Variations: RHCs must now list all CPT and HCPCS-II codes on Medicare claims, a significant shift in recent years. This training helps you effectively balance the “per diem” Medicare system with the complexities of billing commercial carriers and Medicaid, ensuring accurate reimbursement across all payers.
Comprehensive Curriculum: What’s Covered in Our Rural Health Care Coding Bootcamp?
Our curriculum is meticulously designed to address the core challenges and opportunities in rural health care coding and billing. We delve into critical areas, ensuring your team is well-versed in:
- Clinical Documentation Mastery: Equip your clinical providers with a deep understanding of documentation rules, enabling them to accurately capture the full scope of services they deliver. We address the crucial distinctions between coding and billing and provide the necessary updates to ensure ongoing compliance.
- Complete Service Capture: Learn strategies to ensure your facility maintains a comprehensive record of every service provided, coded with both CPT/HCPCS-II and ICD-10-CM codes, regardless of payer reimbursement.
- Maximize Non-Medicare/Medicaid Revenue: Discover proven techniques to optimize revenue generation when billing commercial payers and Medicaid, ensuring you receive appropriate compensation for all services rendered.
- Quality Reporting Excellence: Gain expertise in reporting quality measures for various programs, demonstrating your RHC’s commitment to quality care and potentially unlocking additional revenue streams.
Required Class Materials for Optimal Learning:
To ensure a productive learning environment, attendees are required to bring the following materials:
- CPT Manual (AMA Professional Edition strongly recommended)
- HCPCS-II Manual (any publisher)
- ICD-10-CM Manual (any publisher)
- Class Slides: Provided in class at no additional charge.
Essential coding manuals, such as CPT, ICD-10-CM, and HCPCS Level II, are indispensable resources for professionals working in rural health care coding and billing.
Order Your Coding Manuals: If your clinic or health system does not provide these manuals, you can conveniently CLICK HERE TO ORDER from ArchProCoding. Please allow sufficient shipping time as coding manuals are mandatory for the class and will not be provided on-site. Sharing manuals among 2-3 colleagues from the same facility is permissible.
Continuing Education and Certification Opportunities:
- CEUs: Earn 11 Continuing Education Units approved by ArchProCoding & AAPC.
- CME Credits: Physicians (MD, DO), Nurse Practitioners (NP), Physician Assistants (PA), and Registered Nurses (RN) can earn 11 CME Credits. This activity is jointly provided by the University of Nevada, Reno School of Medicine and the Association for Rural & Community Health Professional Coding and accredited by the ACCME.
Become a Certified Rural Health Coding & Billing Specialist (RH-CBS):
Upon completion of the live or online training, attendees are eligible to take the optional Rural Health Coding and Billing Specialist certification exam. This 100-question online exam provides immediate scoring, and a passing score of 70% grants the prestigious Rural Health Coding & Billing Specialist (RH-CBS) certification from ArchProCoding, validating your expertise in rural health care coding and billing. Invest in your team and elevate your RHC’s performance with this essential training.
