Event Calendar

Wednesday, March 25, 2020

Billing and Coding, Part 3

Start Date: 3/25/2020 11:00 AM CDT
End Date: 3/25/2020 12:30 PM CDT

Venue Name: TPCA Webinar/GoToWebinar

TN  United States  37217

Organization Name: Tennessee Primary Care Association

Sarah Hill
Email: sarah.hill@tnpca.org
Phone: (615) 425-5853

Registration Fees
TPCA Members - FREE

This 90-minute webinar will include two focuses:

  • COVID-19. Information will be included regarding the clinical documentation, coding, and billing issues surrounding the COVID-19 pandemic. We will discuss up-to-date information on topics that include telehealth options for various carriers, virtual communication services, proper diagnostic coding for testing and treatments, and lab billing options, etc.
  • Behavioral Health. Information presented will outline the key CPT, HCPCS-II, and ICD-10-CM codes related to mental health coding and billing. We will focus on the AMA's CPT documentation guidelines and will compare and contrast them with the way Medicare pays for their services using different rules than those we use for "pure coding." An additional focus will be on highlighting options for Primary Care and Behavioral Health Integration using the Behavioral Health Integration services codes and the CMS Psychiatric Care Collaborative Model. Options for reporting Medication-Assisted Therapy (MAT) and options for SUD/OUD treatments will be reviewed as well in an effort to help facilities that wish to grow their behavioral health outreach. A key focus will be on which documentation rules to share with providers in order to help managers understand how our EHR/IT systems may need to be tweaked to meet our needs and to maintain compliance with the guidelines. We will discuss the Psychiatric Evaluative interviews, individual/group therapy services, medication management services, and which providers Medicare requires for payment when asking for the PPS rate. Medicaid and commercial insurers have widely different payment policies that requires some creativity in understanding the differences between coding and billing rules.

Target Audience
Clinical providers 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. 

Coders/billers/quality staff 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)
  • 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)

To register as a TPCA Member you will need an account. To create an account, click here. For further assistance, contact Sarah Hill (sarah.hill@tnpca.org).

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.


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