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Colorado (Haxtun, CO) Coding & Billing for Critical Access Hospitals
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Colorado (Haxtun, CO) Coding & Billing for Critical Access Hospitals

8/15/2019 to 8/16/2019
When: 8/12/19 - 8/13/19
Day 1: 8:30am - 4:30-pm, Day 2: 8:30am - 12:30-pm
Where: Haxtun Community Center
125 E Wilson St.
Haxtun, Colorado  80731
United States
Contact: Dannette Swanson

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2 Day Coding and Billing for Critical Access Hospitals (CAH) Course Overview



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.

Recommended Class Materials:  2019 CPT, ICD-10-CM & HCPCS Books are recommended but not mandatory to attend class.


CAH Coding Agenda

Day 1: Training and Hands-on Exercises

8:30 am – 4:30pm: CAH Coding                 

  • Introduction and Testing Details
  • Overview of CAH Designation and Cost-Based Reimbursement
  • Introduction/Review of Coding Manuals
  • Swing Bed, Inpatient, Outpatient/Ancillary Facility Coding
  • Emergency Department Facility and Professional Fee Coding


Day 2: Training and Hands-on Exercises

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

  • 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

CEUs - 11 CEUs Approved by AAPC & ArchProCoding

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 questions 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.

© ARHPC | All Rights Reserved

ARHPC is a division of Universal Medical & Compliance, LLC
P.O. Box 1405 Tucker, GA 30085

Education :: Certification :: Audit Support


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