Start Date: 3/18/2020 11:00 AM CDT
End Date: 3/18/2020 12:30 PM CDT
Venue Name: TPCA Webinar/GoToWebinar Location:
TN United States 37217
Tennessee Primary Care Association
TPCA Members - FREE
Broken into two parts, these sessions will highlight the key differences in how medical records documentation must be created, how to extract the data (CPT, HCPCS-II, ICD-10-CM) from the completed medical record, and how to get 100% of the money you are entitled to, but no more than allowed. We will highlight the different goals of each of these steps and which staff are responsible for which portions and how they should work together to meet the clinical and financial goals of their FQHCs. We will identify key differences in how community health centers report and get paid by CMS/Medicare, Medicaid, and commercial insurance companies who use different rules on how to get paid.
Providers still need training on clinical documentation and coding related to coding and billing. Too much reliance on coding software tools and leaning too heavily on “favorites” lists can prevent clinics from accurately reporting diagnoses to patients, payers, public health, and beyond. We will identify how managers can update outdated policies and procedures in order to guarantee that their annual cost report is not under-reporting their true costs. Key resources from CMS and other important players will be shared so you can build a binder full of information spread out in many areas of the internet and payer contracts.
We will also tie together how HCC, HEDIS, value-based care, UDS, shared savings via ACOs, and new care management services are intricately related to your documentation>coding>billing processes. We will review the major categories of preventive medicine codes from the CPT and from CMS -- they are different! Additionally, we will show how learning the ICD-10-CM's Official Guidelines for Coding & Reporting can benefit every member of your facility, public health, and your patients.
The goal of the sessions is to create a shared platform of knowledge between clinical providers, managers, and coders/billers so that health centers:
- Document 100% of services provided.
- Capture 100% of the codes for what was done (CPT/HCPCS-II) and why (ICD-10-CM) so your cost report is accurate and your patients get a full record of their care.
- Get paid 100% of what you are entitled to, using varying policies by different carriers that require a creative and effective revenue cycle approach differently in an FQHC.
who need education on their responsibilities related to the creation and maintenance of medical records documentation without a firm and complete understanding of the nuances of the unique rules and regulations of their community health centers/FQHCs. Their active involvement is key to giving the patient access to a record of their care, helping the facility get paid, and reporting billing and quality of care information to Medicare, Medicaid, and other public health stakeholders.
Facility leaders and IT/EHR professionals
who must create, adjust, and manage the policies and procedures that balance the needs of the clinical goals and business goals of their health center. It is vital that facility leaders understand key aspects of the revenue cycle and how rules they may have learned at "regular" medical practices are significantly different at an FQHC.
who depend on a complete and timely medical record that contains all the details on what was done (CPT/HCPCS-II) and why it was done (ICD-10-CM) in order to keep the health center financially viable and to meet state/federal regulations on billing. If facility leaders and clinical staff do not share a basic foundation of knowledge on clinical documentation, professional coding, and billing, these revenue professionals cannot do their jobs effectively.
4.5 CEUs approved by AAPC & ArchProCoding for the entire Billing and Coding Webinar Series.
Participants intending to claim credits must register individually and participate in the webinar for the entire time scheduled. Participants will receive an index number for AAPC and can claim the number of completed webinar hours up to 4.5 (This series is (3) 1.5 hour webinars). The index being used for this course is for a maximum of 6 hours of credit. The ArchPro team is managing these hours and will be available to answer questions at each webinar.
Presenter - Gary Lucas, M.Sc., CPC, CPC-I, AHIMA ICD-10 Ambassador, Vice President of Education – Association for Rural & Community Health Professional Coding
Gary currently serves as Senior Faculty and Vice President of Education Operations for the Association for Rural & Community Healthcare Professional Coding while serving the state/federally-funded medical community. A particular focus is on helping rural health, Federally-Qualified, public, and school-based health centers manage the integration of clinical documentation regulations into their organization’s business operations, such as professional coding, medical billing, and compliance auditing by educating staff who can carry out a plan to unify its people, its processes, and its supporting technologies.
Behavioral Health Lunch & Learn Webinar Series
(all times are Central)
To register as a TPCA Member you will need an account. To create an account, click here. For further assistance, contact Sarah Hill (email@example.com).
- Billing and Coding, Part 3, Wednesday, March 25, 2020 from 11 a.m. until 12:30 p.m. (Register)
- SBIRT, Part 1, Wednesday, April 8, 2020 from 12:30 p.m. until 1 p.m. (Register)
- SBIRT, Part 2, Wednesday, April 22, 2020 from 12:30 p.m. until 1 p.m. (Register)
- Opioids and Addictions in Rural Areas, Wednesday, May 13, 2020 from 12:30 p.m. until 1 p.m. (Register)
This program is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award U58CS06816 State and Regional Primary Care Associations. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsement be inferred by HRSA, HHS, or the U.S. Government.