Medicare Boot Camp Rural Health Clinic Version

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1 Medicare Boot Camp Rural Health Clinic Version *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! 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 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 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

2 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

3 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. Please contact the event manager Marilyn (marilyn.b.turner@nyeventslist.com ) below for: - Multiple participant discounts - Price quotations or visa invitation letters - Payment by alternate channels (PayPal, check, Western Union, wire transfers etc) - Event sponsorships NO REFUNDS ALLOWED ON REGISTRATIONS Service fees included in this listing BUSINESS & LEGAL RESOURCES-BLR - New York Events List JOA190501CEV

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