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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EXPERIENCE COUNTS !
NOW CELEBRATING 30 YEARS HEALTHCARE EXPERIENCE

We're Having A Sale ! Now offering the
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 !
TRAINING ON DVD FOR YOUR ENTIRE RHC STAFF IN YOUR CLINIC ! NO TRAVEL COSTS !
NO LOST PRODUCTIVITY ! KEEP THE CLINIC OPEN DVD & CD Training Series

Now you can train your entire RHC staff without leaving your office! Healthcare Horizon is well-known across the United States, having provided in-service, national, regional and state RHC training in forty five states with attendance by over 2,000 RHC staff members. The trainer/consultant is J. E. Estes, a nationally-recognized expert in the RHC field with over (30) years healthcare experience. He is currently the Secretary of the Board of Directors for the National Association of RHC’s.

The DVD TRAINING works like this:

  1. Decide which training sessions you need. Call 800-399-0874 and order each DVD or the three DVD set (save money!)
  2. Print the session manual(s) from the CD you receive.
  3. Get your staff together for the session(s) and play the DVD.
  4. A pre and post test are included so you can determine the effectiveness of the sessions!
  5. Sessions are 100-120 minutes long. SAVE MONEY !
  • No Travel Costs! You save meals, lodging, airfare and mileage costs!
  • One fee pays for your entire staff! No large tuition fees to pay!
  • Train in the comfort of your home, the clinic, or wherever YOU choose!
  • You decide which topics YOU need and who needs the training!
  • Choose from: Management, Billing/Reimbursement, or Medical Provider Sessions!
  • These sessions are JUST FOR RHC’s and are taught by an expert in RHCs!
  • The latest in digital, studio technology is incorporated so you have the trainer AND the Powerpoint on the DVD!
  • You get the training manual on a separate CD so you can copy it and follow along!

SESSION OUTLINES:

SESSION 1: Management. Appropriate for Ofc. Mgr, Administrator & Accounting Staff (approx. 2.5 hours long)

OUTLINE:

  • RHC Start-Up/Conversion Issues
  • RHC Management Software: Importance & Requirements
  • Clinic certification & re-certification Inspection Issues
  • Policy and Procedure Manual: An Outline for Your Clinic
  • Medical Records: Required Forms
  • Medicare Secondary Payer Questionnaire: Required! How Often?
  • HPSA/MUA Criteria and Waivers
  • Office Management: The Unique Problems of the RHC
  • Types of Clinic Ownership and the Impact of Each Type on Profit
  • Benchmarks for a Profit: Should You Be a RHC?
  • New RHC legislation/regulations
  • HIPAA & the RHC
  • Role of the Medical Director, NP/PA/CNM Rules
  • What Do We Do If Our NP/PA/CNM Resigns?
  • Annual Evaluation: An Outline You Can Use!
  • Patient Check-in
  • Medicine Sample Closet Rules and Procedures
  • Definition of an Encounter
  • Questions You Should Ask When Preparing the Cost Report
  • Cost Report Basics
  • Sole Proprietorship Benefits and Risks
  • Productivity Requirements
  • Physician Compensation & FTE Issues
  • Cost Report Carve-Outs: Types, Requirements & Methods
  • Allowable Costs & Payroll Logs
  • Non-RHC Costs and Their Impact on the Cost Report
  • The Required Lab Tests in the RHC
  • Co-Mingling: What Is It?
  • Rental of RHC Space
  • APC Billing Challenges in the RHC & Hospital-Specific Management Issues


Session 2: Billing/Reimbursement: Appropriate for the Billing/Insurance staff (2-hr.)

OUTLINE:

  • Billing vs Charges: There’s a Difference!
  • Charge for What You Do & Document What You Charge For!
  • The UB92: Billing Basics
  • RHC Billing Software: Requirement for Effectiveness
  • Billing Part B: Limitations and How-To
  • Billing for Diagnostic Tests & Lab Services
  • Who & What Will Medicare Pay For
  • Bundling Your Charges Plus Coding Essentials
  • Ways to Maximize Your Reimbursement Rate
  • Correct Revenue Codes
  • Nursing Home Billing: Something New 01/01/05!
  • Place of Service Requirements
  • The Superbill/Charge Slip: Routing, Signatures, etc.
  • Billing for the Non-RHC Service
  • Bad Debt Collection & Medicare Bad Debt Log
  • Flu & Pneumonia Log
  • Medical Necessity: The Foundation of all Reimbursement!
  • Physicals, Recurrent Services, Disease Management & Lipid Visits
  • Pain Management
  • Routine Foot Care Visit Reimbursement
  • Home Visit, Nursing Home & Family Consult Visits
  • Contractual Adjustments for the Medicare Payment
  • Adjustments for the Non-Billable Service Hospital, Surgery and E.R. Billing and the RHC Follow-up
  • The 72-Hour Rule
  • Billing for DME
  • APC Billing Challenges in the RHC & Hospital-Specific Management Issues


SESSION 3: MEDICAL PROVIDER ISSUES. Designed for Physician, NP, PA and CNM (approx. 2-hours)

OUTLINE:

  • Charge for What You Do
  • Chart Documentation: Critical
  • CPT Coding Essentials for the Provider
  • Procedures in the RHC: Can We Do Them in the RHC and Still Make Money?
  • Can the RHC Have a “Treatment Room” and Bill Medicare Part B?
  • Injections in the RHC
  • Definition of an Encounter
  • Non-Physician Services
  • Charging for Injections, Dressing Change, Suture Removal
  • Supervision of the NP/PA/CNM
  • How Many Patients Per Day Must the Provider See to Make a Profit?
  • Provider Signature Requirements
  • Medical Director Requirements
  • Physician/Owner Issues
  • Medical Provider Compensation: Methods, Limitations, Options.
  • Medical Necessity: The Foundation of all Reimbursement!
  • Diagnostic Tests in the RHC
  • Physicals, Recurrent Services, Disease Management & Lipid Visits
  • Pain Management in the RHC
  • Routine Foot Care Visits and RHC Reimbursement
  • Home Visits and RHC Reimbursement
  • Nursing Home Visits and RHC Reimbursement
  • Family Consultations and RHC Reimbursement
  • Ways to Avoid Being Called a Defendant
  • Importance of Legible Notes: Written or Dictated
  • Electronic Medical Records: How Complicated?
  • The Medical Record: Regulatory Requirements
  • Fraud Issues

ADDITIONAL TRAINING OPTION:

Purchase ALL THREE DVD sets and receive a discount !

SPECIAL PACKAGE DISCOUNT: $299.

You may purchase this product on-line using your credit card, or
you can call 800-399-0874 and pay with your credit card via telephone order.

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