Online Training Course

Prod ID: 543
Rural Health Clinic Billing Guidelines

Rural Health Clinics (RHCs) improve access to primary care in underserved rural areas and utilize a team approach to health care delivery. RHC billing is governed by CMS guidelines, focusing on an All-Inclusive Rate (AIR) per visit for primary care, with separate payments for labs and technical components, plus specific rules for preventive services, care management, and mental health services.

CEUs

3

Length

328 min

Price

$349.00


This program reviews the core principles of reporting of revenue codes and proper billing for Rural Health Clinics (RHCs). Participants in this course will learn to identify RHC services, define encounter types, and recognize modifiers used for proper billing in a rural health care setting. Improve comprehension of how to report RHC services on the CMS1450 and CMS1500 forms and understand when to "split bill."

Learning Objectives:

  • Review requirements for Medicare Rural Health Clinic Certification
  • Identify the services provided at rural health clinics
  • Define encounter types and qualifying encounters
  • Understand the complexities of RHC reimbursement
  • Learn the core principles of reporting revenue codes
  • Recognize modifiers used for RHC billing
  • Demonstrate how to report services on the CMS1450 and CMS1500 forms
  • Know when and how to "split bill"
  • Explore common claim errors
  • Be informed of regulatory compliance requirements

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.

This course will be beneficial for anyone seeking a basic understanding of coding and billing requirements specific to a rural health care setting.
No prerequisites are required.
Self-paced online program includes unlimited review of previously recorded instruction and access to downloadable course materials for 6 months.

Comments from past participants:

  • "Excellent program; it is very informative."
  • "Instructor was very informative. I enjoyed the training."

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