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Nevada E/M, Rural/Community Health & Critical Access Hospital Coding & Billing Bootcamps
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Nevada E/M,  Rural/Community Health & Critical Access Hospital Coding & Billing Bootcamps

Sponsored by Nevada Rural Hospital Partner

7/29/2019 to 8/1/2019
When: July 29-August 1, 2019
Varies each day (See Agenda Below)
Where: Atlantis Casino Resort Spa
3800 S Virginia St
Reno, Nevada  89502
United States
Contact: Julia Scott
4049376633


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Free to Nevada Rural Hospital Partners Only - All other registrations will be cancelled 


4 Day Bootcamp Information 

All 4 Days - Evaluation & Management Auditing Training, Rural/Community Health Coding & Billing, and Critical Access Hospital Coding & Billing Bootcamp

ROOM BLOCK: $119 per night (plus tax). The Group Code that must be used is “SNRHP19” and reservations must be made prior to July 4th. Attendees can call (775) 825-4700 to make their reservations. There will be breakfast and lunch served all four days.

Evaluation & Management Auditing Training - July 29, 2019 8:30am - 4:30pm

This interactive 1 day training is intended for healthcare practitioners, medical billers, coders, auditors, office managers and IT professionals involved with authoring clinical documentation, generating E&M progress notes, auditing professional physician service claims and maintaining a healthy revenue cycle. The primary course focus will emphasis documentation guidelines set forth by CMS for reporting Evaluation and Management services (E&M), as defined by CPT. The curriculum will provide attendees with a strong grasp of Evaluation and Management auditing, coding and documentation techniques. The curriculum is designed to assist in development and mastery of the necessary skill set to successfully audit Evaluation and Management (E&M) services. This education and training has been designed to promote compliance and minimize the risk mitigation associated with post-payment review and 3rd party audit exposure.

 

Day 1 – Training and Hands-on Exercises

8:00 a.m. – 8:30 a.m. - Registration

8:30 a.m. – 12:00 p.m.  - Overview and CPT E&M Instructions, 

  • Defining time in the inpatient/outpatient settings
  • When to use CPT vs. CMS E&M Documentation Guidelines
  • Preventive versus Problem-Oriented E&M Services
  • Documenting valid chief complaints
  • History of Present Illness and Review of Systems (HPI/ROS)
  • Past, Family, Social History (PFSH)

12:00 p.m. – 1:00 p.m. Lunch

1:00 p.m. – 4:30 p.m. 

  • Hands-on Exercises and QA
  • 1995 vs 1997 CMS Examination Guidelines
  • Geographic considerations (e.g., MAC Guidance)
  • Medical Decision Making and Medical Necessity
  • The role of EHRs and coding software in the auditing process
  • Time based E&M coding
  • Overview the ArchProCoding Audit Tool
  • Q&A will be encouraged throughout the session

Rural & Community Health Coding & Billing Bootcamp - July 30-31, 2019 Day 1: 8:30-4:30 Day 2: 8:00 - 12:00pm

Who is the class for: This class is specifically designed for clinical personnel (MD, DO, NP, PA, RN), coders, billers, EHR professionals, facility and financial managers that work in RHCs, FQHCs and look-alikes to encourage building a shared foundation of knowledge.  We will provide action Items and how to “get results” by working together through hands-on practice.

Why attend?

  • Recently, RHCs had to start listing all CPT and HCPCS-II codes performed on claims to Medicare for the first time in decades.  Many RHCs are still learning to balance its AIR (“per diem”) Medicare system of getting paid with the huge billing variations when billing commercial carriers or Medicaid.
  • With the recent requirement by CMS to require FQHCs to list all CPT and HCPCS-II codes – it has never been more important to make sure you are documenting and coding for 100% of what is done.  Commercial payers probably don’t pay under the Medicare PPS system, so you have to bill them differently. If you aren’t documenting and coding correctly you may not be capturing everything that is done and some revenue may be left on the table! Your cost report is very tied to your professional coding practices – don’t undervalue and underreport what you do.
  • With IT finding its way into more areas of medical facilities the difference between clinical documentation, professional coding, and medical billing have never been more important.
  • Are you too dependent on IT instead of relying on well-trained and qualified staff?  We will focus on the guidelines that appear before and after key coding sections that rarely are accessible to providers and coders/billers in their EHRs and encoder software.
  • We will limit the review of codes that will rarely or never be performed in your facility setting – and will focus on primary care visits, behavioral health, and preventive services.
  • We will be careful to get hands-on with over a dozen vital resources (including the CMS Benefits and Claims manuals) that outline the unique approach rural and community health needs to be aware of to stay compliant!

What is Covered & Agenda

How well do your clinical providers know the rules: Do your clinical providers know the documentation rules related to capturing the valuable services they provide?  What type of training do they have on the differences between coding and billing?  How long has it been since they received updates?

  • Does your facility have a full record of each service provided (CPT/HCPCS-II codes) and why they were done (ICD-10-CM codes) regardless of whether you get paid or not?
  • Are you generating all of the revenue that you are entitled to when billing non-Medicare/Medicaid payers?
  • Are you reporting quality measures related to Shared Savings, Risk Adjustment, HCCs, or other Quality Improvement programs?

Day 2 – Training and Hands-on Exercises

8:00 a.m. – 8:30 a.m. - Continental Breakfast & Registration

8:30 a.m. – 12:00 p.m.  - Introduction to RHCs/FQHCs and Clinical Documentation for Providers

12:00 p.m. – 1:00 p.m. Lunch Provided

1:00 p.m. – 4:30 p.m. Clinical Documentation for Providers Continued and Professional Coding for Management

 

Day 3 – Training and Hands-on Exercises

8:00 a.m. – 8:30 a.m. – Coffee & Registration

8:30 a.m. – 12:30 p.m. Proper Billing and Reporting for Coders/Billers and Review of Action Items and How to Get Results

Required Class Materials (software simply doesn't give you access to all of the guidelines!)

  • 2019 CPT manual (AMA’s Professional Edition strongly recommended)
  • 2019 – Any publisher’s HCPCS-II manual
  • 2019 – Any publisher’s ICD-10-CM manual

These coding books should be available through your clinic or health system, however if you need to order you can add them to your registration at checkout or clink the following link: https://www.ruralhealthcoding.com/store/ListProducts.aspx?catid=673913

If you order books from ArchProCoding please allow ample shipping time to you as coding manuals will not be brought by our team and they are required for class.  Sharing manuals between 2-3 people from the same facility is fine. 

CEUs (Continuing Education Units) - 11 CEUs Approved by ArchProCoding & AAPC

CME (Continuing Medical Education) Credits for MD, DO, NP, PA, RN: 11 CME Credits

*This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nevada, Reno School of Medicine and Association for Rural & Community Health Professional Coding.  The University of Nevada, Reno School of Medicine is accredited by the ACCME to provide continuing medical education to physicians. The University of Nevada, Reno School of Medicine designates this live activity for a maximum of 11 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Earning the optional Rural or Community Health Coding and Billing Specialist (RH-CBS or CH-CBS) Certification

  • Upon completing the live class authorized attendees will be able to take either the Rural and/or Community Health Coding and Billing 100 question online certification examination.  The exam is scored immediately and if a score of 70% is achieved, a certification of Rural Health Coding & Billing Specialist (RH-CBS) Community Health Coding & Billing Specialist (CH-CBS) will be granted by the Association for Rural & Community Health Professional Coding. 
  • Full attendance includes the live training sessions, a 90-day ARHPC membership (one year if you pass the optional exam), discounted access to a practice exam, and the optional testing fee.
  • Following the in-person class you will have discounted access to a 35 question practice exam with answer rationales provided plus the option to take an online examination to earn a certification as a Rural or Community Health - Coding & Billing Specialist (RH-CBS or CH-CBS).

After you pass the optional certification examination

  • A certificate suitable for framing will be available for download along with annual CEU renewal requirements and membership dues based upon the date of the class you attend.  If the test is not passed the first time a free re-test is available within the same testing deadline.  The exam must be taken within 60 days of the last day of class or a fee of $75 will be charged.
  • To maintain your RH-CBS or CH-CBS credentials you must earn 14 CEUs per each year with at least half coming from rural/community-specific educational sessions (e.g. webinars, in-person class, eLearning, etc.). Some of our CEUs are as low as
  • $14-40 per hour and are from nationally recognized industry experts.

Already certified as a RH-CBS or CH-CBS?  Come earn 11 CEUs recognized by ArchProCoding and the AAPC!  

Can’t attend in-person? Try our online self-study version that is totally self-paced and gives you an optional online practice test as well as the full online certification exam.

Visit our eLearning Site: arhpc.absorbtraining.com

 

CAH Critical Access Hospital Coding & Billing Bootcamp July 31 - August 1, 2019 Day 1: 1:30pm - 4:30 Day 2: 8:30 - 4:30

BECOME A CRITICAL ACCESS HOSPITAL CODING & BILLING SPECIALIST (CAH-CBS)


Objectives: This Coding and Billing for Critical Access Hospitals series describes what revenue cycle, coding, and billing staff in CAHs need to know about their clinical documentation, professional coding, and medical billing processes.  This series will provide a thorough overview of the coding and billing processes in a CAH..

We will describe the key activities and common issues that affect all members of the CAH workforce related to CPT, HCPCS-II, and ICD-10-CM coding and billing with a focus on their impact on revenue, facility mission, population and public health reporting.

Primary Audience: CAH Inpatient Coder, Outpatient Coder, Biller

Secondary Audience: Coding Manager, Billing Manager, Provider

Benefits of attending:

  • Coders/billers who have come from "traditional provider offices or hospitals" or are new to the unique nature of billing for the services Critical Access Hospitals will benefit by gaining a better understanding of the CAH designation and CAH-specific rules for coding/billing.
  • Managers who hire staff, manage people and policies, supervise the coding/billing staff will benefit by gaining a high-level overview of  CAH designation criteria and the systems/processes required to main CAH status with emphasis on coding/billing.
  • Providers who create clinical documentation (e.g. MD/DO/PA/NP) will benefit by gaining a better understanding the coding/billing nuances that are specific to different hospital service areas.

CAH Coding Agenda

Day 3: Training and Hands-on Exercises

1:30pm - 4:30 pm: CAH Coding

  • Introduction and Testing Details
  • Overview of CAH Designation and Cost-Based Reimbursement
  • Introduction/Review of Coding Manuals

Day 4: Training and Hands-on Exercises

8:30 am – 12:30 pm pm:  CAH Coding, cont.

  • Swing Bed, Inpatient, Outpatient/Ancillary Facility Coding
  • Emergency Department Facility and Professional Fee Coding
  • Same Day Surgery and Anesthesia Coding
  • Hospital Professional Fee Coding

CAH Billing:

  • Billing and reimbursement overview for CAH Swing bed, Inpatient facility, Outpatient facility, and hospital professional fees
  • Method I, Method II, and CRNA Pass-through payment options
  • Revenue codes and their relationship to CPT codes Billing Compliance
  • Guidance on how improving current billing practices and systems can translate into increased revenues
  • Identification of common issues that impact denials

CAH Final Exam

Upon completing the live class authorized attendees will be able to take the Critical Access Hospital Coding and Billing online certification exam.  The exam is 100 question and is scored immediately if a 70% is achieved.  The certification for Critical Access Hospital Coding & Billing Specialist (CAH-CBS) will be granted by the Association for Rural & Community Health Professional Coding.


Full attendance includes the live training sessions, a 90-day ArchProCoding membership (one year if you pass the optional exam), discounted access to a practice exam, and the optional testing fee.

Already certified as a RH-CBS or CH-CBS?  Come earn 11 CEUs recognized by ArchProCoding and the AAPC! 

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