Online Training Course

Prod ID: 338
Rural Health Clinic Billing Guidelines

Participants will learn to identify services provided at rural health clinics, define encounter types, recognized modifiers used for RHC billing, and more. 

CEUs

6

Length

337 min

Price

$179.40

This basic level course is designed for providers, managers, and staff at rural health care facilities who need a basic understanding of coding & the billing requirements specific to a rural health care setting. This program will review the core principles of reporting revenue codes and recognizing modifiers used for RHC billing. 

Audrey Coaxum

CHC, CPC, CEMC, CMC, CMIS, CMOM, CMCO


Audrey E. Coaxum is an influential leader with more than twenty-five years of relevant experience involving many facets of healthcare operations. She is recognized for having an exceptional ability to analyze systems and processes, create best practices, develop policy and procedures, as well as, diverse methods that are compliant, proactive and geared towards eliminating waste and revenue losses, while enhancing operational efficiencies and achieving strategic goals. Audrey has a sterling reputation across the healthcare community as a customer-service oriented strategic problem solver and trusted advisor. She has extensive knowledge and experience in leadership development, medical billing and coding, reimbursement and comprehensive clinical and business operations.

Audrey has served as a C-suite executive for many organizations where her skills as a progressive analyst afforded her the opportunity to champion initiatives involving the implementation of Value-Based Payment Models and the benchmarking of Key Performance Indicators in productivity, patient volume, budget performance and clinical quality outcomes. Motivated by her desire for change and to overcome concerns, she has overseen a range of activities directed towards the evolution and refinement of quality improvement, risk management and practice administration needed to diminish the day to day challenges facing today's medical practices.

Audrey's professional interests focus on various aspects of compliance that streamline operations and enhance profitability without compromising quality of care. As a strong advocate of hands-on, inquiry based learning, she currently spearheads activities related to compliance education and training. She conducts audits and reviews to identify trends, issues and potential areas of risk to assist her in developing technology-infused training programs geared towards educating clinicians, administrators and support staff.

Participants in this course learn to:

  • identify services that are provided in rural health clinics,
  • define encounter types and qualifying encounters,
  • learn the principles of reporting revenue codes,
  • recognize modifiers used for HRC billing, and
  • demonstrate how to report services on both the CMS1450 and CMS1500 forms, and when to "split bill”

 

Class Highlights

  • Define Rural Health Clinic (RHC)
  • RHC Locations
  • Commercial and Self Pay billing
  • Medicare co-pays/deductibles
  • Freestanding and Hospital-Based RHC Services
  • Telemedicine services
  • Sliding Fee process
  • Commercial and Medicaid RHC billing
  • Specified Medicare RHC billing guidelines
  • RHC Encounter
  • RHC Qualifying visit
  • RHC Revenue Code reporting
  • RHC Claims – Medicare Part A versus Medicare Part B
  • Modifiers for RHC billing
  • Billing Examples
  • Claim form completion
  • RHC’s and MIPs

Self-paced online program includes unlimited review of previously recorded instruction and the downloadable digital companion materials for 6 months.

Comment from past participant:

"Excellent program; it is very informative."

"Instructor was very informative. I enjoyed the training."

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