Jim Estes,President/Consultant,Horizon Services, Inc. dba Healthcare Horizon
 
NEW WORKSHOPS SCHEDULE FOR 2010 RHC Training DVD Series
NEW 2010 NATIONAL WORKSHOPS SCHEDULE NOW AVAILABLE
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EXPERIENCE COUNTS !
NOW CELEBRATING 30 YEARS HEALTHCARE EXPERIENCE
We're Having A Sale ! Now offering the
RHC Policy & Procedure Manual UPDATE 2010
call us : 800-399-0874
  more . .
Price: $85
   
Price: $159
   
Jim Estes,President/Consultant,Horizon Services, Inc. dba Healthcare Horizon
 
 
 
 
NATIONAL WORKSHOP SCHEDULE 2010
WORKSHOP LOCATIONS:
( Lodging and meals are the responsibility of the participant.)
 

Healthcare Horizons is pleased to announce a new Rural Health Clinic workshop training series for 2010. A brand-new format has been developed that includes new and more detailed information for the RHC manager, provider, biller and other staff. The Workshop hours are 9:00 am to 4:30 pm.

Each participant will receive a copy of the workshop manual to take home with them. Lunch at each session is on your own. I’ve kept the tuition the same as in previous years, only $199 per person.

The workshop content has been expanded to include important information on Electronic Medical Records in the RHC, plus great information that will help you make your RHC more cost-effective, maximize your encounter rate and be prepared for inspections.
 
April
 
April 16: Jackson, MS
 
Holiday Inn Trustmark Park Hotel
110 Bass Pro Drive
Pearl , MS
601-939-5238
 
E-Mail : hlthcarehorizons@mindspring.com
 
May
 
May 07: Dallas, TX
 
Wyndham Love Field
3300 W. Mockingbird Lane
Dallas , TX
214-357-8500
 
E-Mail : hlthcarehorizons@mindspring.com
 
May
 
May 14: San Antonio, TX
 
Holiday Inn Riverwalk
217 N. St. Mary's
San Antonio , TX
210-224-2500
 
E-Mail : hlthcarehorizons@mindspring.com
 
June
 
June 18: Reno, NV
 
Atlantis Casino Resort Spa
3800 S. Virginia St.
Reno , NV
775-954-4125
 
E-Mail : hlthcarehorizons@mindspring.com
 
July
 
July 16: Little Rock, AR
 
Hampton Inn
1301 Shackleford Rd
Little Rock , AR
501-537-3000
 
E-Mail : hlthcarehorizons@mindspring.com
 
 
 
 
   
Workshop Agenda:  
   
RHC Intro-Management & Cost Report (9:00 am - 11:45 am)
   
  • Qualifying providers
  • Types of RHCs & Eligibility
  • Reimbursement
  • Should you be a RHC?
  • NP/PA/CNM rules
  • Management Software
  • Policy Manual
  • State Inspector Issues
  • Annual Evaluation
  • Comingling
  • CR Allowable Costs
  • Rate Determination
  • Sections of the CR
  • Non-RHC Costs
  • Adjustments & Reclassifications
  • Rent Issues
  • Reasonable Comp. & Productivity
  • In-Patient Services
  • Time Records & Logs
  • Medicare Bad Debt
  • Settlement Breakdown
  • Timely Filing
  • Hospital-Based & CAH Issues
  • Consolidated Cost Reports
  • Medicaid Billing Exceptions
  • Pain Management Billing Tips
  • How to Bill for Family Consultations
  • What to do With Telephone Services
  • Four Areas the RHC Can Bill Medicare Part B
  • Split Charge & Split Bill Diagnostic Tests
  • Billing for “other” locations
  • Nursing Home Billing & SNF Issues
  • How the RHC Payment is Determined
  • The Biller & the Cost Report
  • Reports the Biller Generates for CR Preparation
  • Billing Reports Important to RHC Management
  • Medicare “Contractual” Adjustments to PT Account
  • MediCAID Reimbursement Issues
  • Revenue Codes for the UB-04
  • RHC “Four Walls Concept”
  • Required Labs & CPT Codes
  • Hospital-Based RHC Lab Billing Issues
  • Hospital-Based RHC Reimbursement Issues
  • CPT/HCPCS Code & Bill Types
  • The “30-30 Rule”
  • Importance of Bundling All Charges
   
RHC Advanced Billing: (2:30 pm - 3:30 pm)
   
  • MediCAID Billing Challenges
  • Timely Filing
  • ICD-9 Coding Issues
  • Part B Bonus Payments
  • Special Billing for non-RHC Services
  • Billing for Multiple Visits on Same Day
  • Billing “Incident to”
  • Behavior Health Billing
  • Behavioral Health Medicare Reimbursement
  • PT Financial Responsibility in Behavioral Health
  • Welcome to Medicare Exam Billing, Codes, Etc.
  • Mammography, Screening Pelvic & Pap Smears
  • Prostate Cancer Screening & PSA Billing
  • Diabetes & Cardiovascular Screening
  • Billing Telehealth & Hospice
  • Billing for Visiting Nurses Services
  • RHC Physician Services
  • Medicare Advantage Plan Issues
  • Coding & Billing Injections
  • Coding & Billing Minor Surgical Procedures
  • Minor Consent
  • Encounters Defined
  • Medical Necessity
  • SOAP Documentation
  • Signature Requirements
  • Advance Beneficiary Notice
  • Medicare Secondary Payer
  • RX, Drug & Problem Logs
  • Pain Management Forms & Policies
  • Records Retention
   
Break for lunch on your own: (11:45 am - 1:00 pm)  
   
   
RHC Basic Billing: (1:00 pm - 2:30 pm)
   
  • How Is RHC Paid Differently
  • Upcoding & Downcoding Pitfalls
  • Reduced Fee & Free Services
  • Billing vs Charges
  • Definition of Billable Encounter
  • Medical Necessity
  • Billing Process for RHC Services
  • How to Bill “Incident To” Services
  • How to Bill Non-RHC Services
  • Services Not Covered by Medicare
  • Beneficiary Financial Responsibility
  • Billing Injections
  • B-12 Billing Options
  • Flu/PPV Billing
  • Dressing Changes, Hospital Charges
  • Billing Lab Tests & Paperwork
  • Routine & Recurrent Services
  • Billing for Disease Management Clinic
  • Billing for Diabetes Services
  • Foot Care & Chiropractic
  • ICD-9 Coding Issues
  • Beneficiary Financial Responsibilities
  • Medicare Bad Debt Advanced Issues
  • Discounts for Cash
  • Sliding Scale Fee Schedule Issues
  • 72-Hour Rule & Billing in the RHC
  • Global Billing & the RHC
  • Suture Removal Billing
  • Billing for Hospital Visits
  • Bird-Dogging Denied Claims
  • Billing Ofc. Tracking of Encounters
  • CAH Billing Options
   
Electronic Medical Records in the RHC (3:30 pm - 4:30 pm)
   
  • Cost vs Expectations
  • Review Required Forms
  • Electronic Issues With Required Forms
  • Ethnicity Data Possible
  • Scanned Documents vs. Data Base Info.
  • Selection Preparation
  • Memory? Access
  • Scanning Equipment
  • Transition Staff
  • Will System Handle MSP Requirements
  • On-line vs In-House
  • Satellite vs DSL
  • Electronic Pt Sign-In
  • Electronic Chart Co-Signature for NP/PA/CNM
  • Reportable Fields vs Just Data
  • RX From Sample: Reportable Field
  • Allow for Future QAPI
  • System Security/Policies
  • System Selection Process
  • Will System Guarantee “Certification” in Writing
  • Type of EHR System Appropriate for RHC
  • Medical Record Scanning Decision-Making
  • Bridge Existing Demo Data or Input All New Data
  • Implementation of new system
  • Clinic’s capacity for change
  • Potential Facility Issues
  • Practice Analysis Important
  • Vendor Selection & Contracts
  • On-going Training
  • Super-User Importance

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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