Welcome and Introduction to the Revenue Cycle 360º Course
Jan 13, 2021 8:45am ‐ Jan 13, 2021 9:00am
Identification: RWF0
Introduction to the training.
Speaker(s):
- Ms. Gervean Williams, Director, Health Center Financial Training and Technical Assistance, NACHC
FQHC Medicare PPS: What You Need to Know
Jan 13, 2021 9:00am ‐ Jan 13, 2021 10:00am
Identification: RWF1
This session will focus on Medicare FQHC PPS basics and any reimbursement changes and/or updates. Areas that will be covered include Rate setting for G-codes, billing for same day visits, and definition of new patients.
Speaker(s):
- Ms. Gervean Williams, Director, Health Center Financial Training and Technical Assistance, NACHC
Sliding Fee and Charge Setting
Jan 13, 2021 10:15am ‐ Jan 13, 2021 11:15am
Identification: RWF2
The mission of the 330 Grantees is to expand primary health care to those who need it most. To meet the mission, CHCs provide comprehensive medical, dental, and behavioral healthcare to all regardless of the ability to pay by utilizing a sliding fee scale. To comply with these requirements, CHCs must implement a sliding fee discount program, which assures that patients have access to all primary care services regardless of their ability to pay. This session will review the requirements and different methodologies in operationalizing a sliding fee program.
Speaker(s):
- Ms. Catherine Gilpin, CPA, Director, Forvis
Attributes of Better Performing Billing Departments
Jan 13, 2021 12:15pm ‐ Jan 13, 2021 1:15pm
Identification: RWF3
This session will educate key staff in the unique and complicated reimbursement systems available to FQHCs and take a deeper dive into developing effective billing departments and analyzing and maximizing patient revenue.
Speaker(s):
- Raymond Jorgensen, MS, Principal, Ray Jorgensen Consulting, LLC
Accounts Receivables Reporting and Analysis
Jan 13, 2021 1:30pm ‐ Jan 13, 2021 2:30pm
Identification: RWF4
This session will review all types of reimbursement typically encountered by health centers and cover essential functions required to accurately record revenue, manage accounts receivable and provide management reports that allow optimal oversight and cash flow for all types of payers.The session also includes evaluating revenue trends, understanding characteristics of receivables, diagnosing collection issues and maximizing collection efforts.
Speaker(s):
- Raymond Jorgensen, MS, Principal, Ray Jorgensen Consulting, LLC
The Importance of Documentation, Coding: Office & Medicare Billing
Jan 14, 2021 9:00am ‐ Jan 14, 2021 10:00am
Identification: RTF1
Medical necessity, substantiated by solid documentation is essential for compliance and performance reasons. This session presents the basics of 1995 evaluation and management documentation guidelines, some common FQHC coding myths, information about preventive and consultation coding, as well as other important coding must-knows. Also covered is documentation and coding for behavioral health visits and the circumstances under which common FQHC procedures are covered and billable to Medicare.
Speaker(s):
- Shellie Sulzberger, LPN, CPC, ICDCT-CM, President, Coding and Compliance Initiatives, Inc.
Compliance Effectiveness to Drive Operations Excellence
Jan 14, 2021 10:15am ‐ Jan 14, 2021 11:15am
Identification: RTF2
This session will focus on improving health center performance in explaining the role of accountability for compliance, the elements of an effective strategy for maintaining compliance, and the tools for managing the implementation of a compliance program.
Speaker(s):
- Patrick Sulzberger, CPA, Co-Founder, Coding Compliance Initiatives, Inc.
Key Performance Indicators and Case Study Review
Jan 14, 2021 12:15pm ‐ Jan 14, 2021 1:15pm
Identification: RTF3
Learn about practical management and operating functions that should be undertaken before, during, after and simultaneously throughout the patient visit process in order to maximize cash collections and effectively manage accounts receivables. This session will include case studies.
Speaker(s):
- Raymond Jorgensen, MS, Principal, Ray Jorgensen Consulting, LLC