Jim Estes,President/Consultant,Horizon Services, Inc.  dba Healthcare Horizon
 
NEW WORKSHOPS SCHEDULED FOR 2008
NEW RHC WORKSHOPS INCLUDE RIVERBEND TRAINING!
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NOW CELEBRATING 30 YEARS HEALTHCARE EXPERIENCE

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RHC Policy & Procedure Manual
$98 (Regular $495) call us : 800-399-0874
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Jim Estes,President/Consultant,Horizon Services, Inc.  dba Healthcare Horizon
 
 

NEW WORKSHOPS SCHEDULED FOR 2008

If you have attended National Association of Rural Health Clinics conferences, you have been privileged to hear Susan Carrico teach on RHC issues.

Susan has been with Riverbend for seven years and is currently the supervisor of the Provider Outreach and Education department. She has a well rounded knowledge base of both the FISS system and RHC program regulations. She travels extensively to provide training to Riverbend's providers.

I am excited about having Susan as a special presenter in TWO additional INTENSIVE TWO-DAY WORKSHOPS IN 2008. She will teach in Jackson, MS on June 26-27 and in Atlanta, GA on October 9-10.

Healthcare Horizon will have one-day RHC Workshops in Denver, Louisville, Raleigh, San Antonio and Dallas.  Check out the National Workshop Schedule section of this web site for details.

You can be assured you will HAVE YOUR QUESTIONS ANSWERED by the time you leave these events.

Susan will teach all day on day one, and I will teach all day on day two. The outline of the Healthcare Horizon session is listed nder the National Workshop Schedul section of this site. Here’s what Susan will be teaching on day one:

9:00 - 10:00 am RHC Benefit
This session will discuss what is and is not an RHC service and the health professionals that can provide the RHC service.

10:00 - 10:15 am Break

10:15 - 11:15 am RHC Billing
This session will discuss how to bill the RHC encounter and the correct fields for the UB04

11:15 - 12:00 pm Documentation
Advanced documentation discussion including specific elements of evaluation & management services as well as "incident-to" the physician's face-to-face visit. This session will also include discussion of the RHC Local Coverage Determination (LCD).

1:00 - 1:45 Medicare Secondary Payer
This session will provide an in-depth look at the Medicare Secondary Payer program, including eligibility and billing criteria.

1:45 - 2:00 pm Break

2:00 - 3:00 pm Riverbend & CMS Web site
Step-by-step navigation of Riverbend's new and improved web site, with emphasis for Rural Health Providers

3:00 - 4:00 pm Direct Data Entry (DDE)
Discussion of the Health Insurance Query Access (HIQA) and Direct Data Entry DDE)system. This session will provide a "how to" manage and monitor your Medicare claims.

The tuition for these two-day workshops is only $299 per person. If you are bringing five or more from one clinic ownership, give me a call for the discounted rate!

In addition, I am also hosting several one-day intensive RHC training events. These workshops will have some new information and will include an extensive training manual, with something NEW this year.

As a participant at the workshop, you will leave with not only the manual in print, but you’ll also have a CD containing the manual, AND tons of helps, forms, memorandums and other items important to the success of your RHC! This is included in the tuition!

Participants at the workshop will also be able to take advantage of significant discounts on my training DVDs and Policy Manual.

DON’T MISS THESE EVENTS !

Here are ALL the workshop dates for 2008 at this time:

September 19: Raleigh, NC
One-Day Healthcare Horizon Training
Holiday Inn Express
Research Triangle
4912 S. Miami Blvd.
Durham, NC
919-474-9800

October 9-10: Atlanta, Georgia
Two-Day Training with Riverbend & Healthcare Horizons
Holiday Inn Express
4601 Best Road College Park, GA
404-761-6500

November 07: San Antonio Texas
One Day Training with Health Care Horizon
Riverwalk Holiday Inn, 111 Pecan St. East
210-354-2800

December 12: Dallas, Texas
One Day Training with Healthcare Horizon
Holiday Inn Love Field;
3300 W. Mockingbird Lane
214-357-8500

 

HEALTHCARE HORIZON RHC WORKSHOP OUTLINE

RHC Basics and Regulations

  • Should you be a RHC?
  • Advantages/Disavantages
  • RHC or FQHC?
  • Types of Ownership & Advantages
  • Profit Benchmarks
  • HPSA Waiver Options
  • Non-Rural Waiver Options
  • NP/PA/CNM Regs
  • Management & Billing Software Facts
  • New Final BBA Regs (if available)
  • Medical Records Requirements
  • SOAP Documentation
  • MSP & Patient Check-In
  • New Revenue Codes
  • NPI Issues

REIMBURSEMENT/BILLING

  • Charge for What You Do
  • Difference Billing and Charges
  • E & M Coding Essentials
  • Billing for Procedures
  • Discounts and Sliding Scales
  • Part B Billing
  • APC / Hospital-based Billing
  • Diagnostic Test Billing
  • Labs
  • Global in the RHC
  • OB/GYN in the RHC
  • Nursing Home Billing
  • The “Four Walls Concept”
  • Maximize Reimbursements

“Understanding the RHC Cost Report

  • Three Sections of the CR
  • RHC Legal Structure - Important to Your Rate
  • Non-RHC Costs Impact Your Rate
  • Reclassifications & Adjustments
  • Productivity Standards vs Reality
  • Reasonable Provider/Owner Salary
  • Salary Allocation and Documentation
  • How to Read the CR
  • Allowable and non-Allowable Costs
  • Medicare Bad Debt Reimbursement
  • Flu & Pneumonia Reimbursement
  • The Three Parts of the CR Settlement
  • Importance of a Working Trial Balance
  • Critical Access Hospital CR Differences
  • Hospital-Based Rate Differences
  • Hospital-Based CR Differences

Certification and Inspection

  • The Pol-Pro Manual
  • State Inspection Issues
  • Annual Evaluation Outline
  • What Happens When The Annual Evaluation is no Longer Required?
  • QAPI: What is Expected
  • Facility Issues
  • Supervision of the NP/PA/CNM
  • New Requirements From Inspectors
  • Logs Required
  • CLIA  & HIPAA Issues

ADMINISTRATION & MANAGEMENT

  • Medical Director Requirements
  • Rental of RHC Space
  • Self-Referral Concerns
  • Use of Contracted Providers
  • Collecting Co-Pay Up Front
  • Use of a Billing Agency vs “doing it yourself”
  • Scope of Practice
  • MediCAID: Participant Discussion
  • Sliding Scale Fee:  Does it help?
  • National Health Service Corp Site?
  • Recruitment & Retention

THIS INFORMATION WILL BE TAUGHT ON DAY TWO OF THE TWO-DAY WORKSHOPS.  JIM ESTES, PRESIDENT OF HEALTHCARE HORIZON IS THE INSTRUCTOR.  THIS OUTLINE WILL ALSO BE THE CONTENT OF THE ONE-DAY INTENSIVE RHC WORKSHOPS AS SCHEDULED.

 

EACH PARTICIPANT WILL RECEIVE THE PRINTED WORKSHOP MANUAL, AND - - NEW THIS YEAR - - A CD IN MICROSOFT WORD FORMAT THAT CONTAINS THE WORKSHOP MANUAL AND LOTS OF RHC HELPS, FORMS, CMS MEMORANDUM AND MORE!

SEATING AT ALL WORKSHOPS IS VERY LIMITED!  REGISTER TODAY!

 
 
HEALTHCARE HORIZON,
2308 County Road 3007 BARTLESVILLE, OK 74003.  PHONE: 800-399-0874 FAX: 918-336-6269
 
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