• Price: FREE to Florida Rural and Community Health 
• Times: 1:00PM - 4:30PM EST
• CEUs/CMEs: Approved for 4 CEUs AAPC/ArchProCoding

INSTRUCTIONS TO ACCESS THIS TRAINING WILL BE SENT OUT THE DAY BEFORE ON 6/6/2024

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Agenda/Topics

1. Deliver an overview of the documentation, coding, reporting, and reimbursement issues that impact providers in and HHS-certified Federally Qualified Health Centers related to the CPT, HCPCS-II, and ICD-10-CM.
2. Outline the vital distinctions between clinical documentation protocols vs. professional coding rules vs. varying requirements of insurance payers vs. reporting accurate quality metrics (if required by payers).
3. Identify solutions to the inherent limitations of EHR and billing software with a goal to increase revenue, facilitate quality reporting, and decrease audit risk.
4. Provide detailed instruction on the AMA’s and CMS Evaluation & Management documentation guidelines and the distinction between proper reporting of “Sick” and “Well” visits and when they can both be reported on the same encounter.
5. Identify the CMS-covered Preventive Services including the Initial Preventive Physical Exam, Annual Wellness Visits, and other covered preventive services Medicare will cover on a periodic basis.
6. Review key areas of the “ICD-10-CM Official Guidelines for Coding and Reporting” in the context of the revenue cycle and quality care reporting including the Social Determinants of Health.
7. Identify how different payers may want a health center to bill for minor surgical procedures using different definitions of the “global surgical package.”
8. Compare/contrast traditional Telehealth versus Virtual Communication Services.
9. Outline Care Management revenue options including Principal/Chronic Care Management, Transitional Care Management, Behavioral Health Integration, and the Psychiatric Collaborative Care Model.
10. Gathering and Reporting (SDOH) Social Determinants of Health codes