Rural Health Clinic Billing Guidelines
For the Medical Office
The course is designed to provide
an overview of Medicare’s guidelines on billing, coding and payment for
services provided in a Rural Health Clinic (RHC) setting.
- Clinical Nurse Specialists
- Nurse Practitioners
- Physician Assistants
- Practice Administrators
- Billers and Coders
Participants will learn:
is a Rural Health Clinic (RHC)?
Designation and Conditions of Certification Requirements
RHC Encounter Types and Qualifying Encounters
Coverage for Opioid Use Disorder Treatment Services
vs. Independent RHC Billing
Principals of Reporting RHC Revenue Codes
for RHC and Non-RHC Services
Claims Processing – Billing for Medicare Part A versus Medicare Part B
Form Completion and Submission Requirements
Modifier Use for RHC Billing
Coding, Billing and Reimbursement for Opioid Treatment Program Services
RHC Claim Errors
Overview of RHC Cost Reporting
Participation in Medicare Shared Savings Programs
Continuing Education Units (CEUs)
Earn 6 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).
If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.