RevCycle Operations 2021

Introduction to the training.

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.

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.

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.

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.

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.

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.