RHC Cost Reporting & Billing Webinars
Healthcare Business Specialists is pleased to provide several webinars over the next few months or so as we strive to keep rural health clinics informed of changes to the RHC program. We are pleased to partner with other entities that have important information to share with the RHC community. More information regarding these webinars can be found at www.ruralhealthclinic.com or go to our Facebook Group called the Rural Health Clinic Information Exchange:
https://www.facebook.com/groups/1503414633296362/
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Elevate your RHC care with APCM
With CMS proposing that RHCs will no longer bill G0511 in 2025, Rural Health Clinics need to evaluate their care management programs. We invite you to join Healthcare Business Specialists and ChartSpan for a webinar on care management in 2025 and Medicare’s new care management program, Advanced Primary Care Management (APCM).
APCM will be outcome-based and bring preventative care to every Medicare patient, not just those who meet specific criteria. But it also comes with complex staffing, billing and compliance requirements.
If your practice has questions about APCM, Chronic Care Management, or what to do in the absence of G0511, you’re not alone. ChartSpan and HBS will help answer your questions about who APCM is for, what the proposed loss of G0511 payments means for RHCs, and more. Sign up today to join us or to receive the recording.
If the Medicare Proposed Rule is approved, Rural Health Clinics will no longer be able to bill G0511 for care management in 2025. RHCs will need to evaluate their care management programs from a financial and patient care perspective. Our partner ChartSpan has put together a webinar to help you explore your options.
ChartSpan will discuss an exciting new program called Advanced Primary Care Management (APCM) that expands care to all RHC Medicare patients.
Join Healthcare Business Specialists and ChartSpan to learn what APCM includes, what its requirements are, and how RHCs can prepare if they’d like to offer it. Register to learn more!
Sep 5, 2024 01:30 PM in Eastern Time (US and Canada)
RHC Cost Reporting for 12/31/2024: Navigating the Tightrope of Medicare Cost Reports
In a recent interview, Philippe Petit, the renowned high-wire artist, shared a personal insight about the music he listens to while performing his daring walks. Interestingly, it's the same piece I find myself playing when preparing Medicare cost reports for Rural Health Clinics (RHCs). The connection between the two activities might seem surprising, but the similarities are undeniable. In recent years, the process of completing a Medicare cost report has come to feel very much like walking a tightrope—where balance, precision, and a bit of nerve are all essential.
As many of you are aware, Medicare cost reporting has grown significantly more complex in recent times. I often compare it to making soup. In the past, you could simply add all the necessary ingredients—costs and visits—and the result was a hearty soup with plenty to go around. Back then, costs typically exceeded the low Medicare caps, which hovered around $85 per visit, ensuring a comfortable margin.
However, today's landscape has changed. With numerous services now paid on a fee schedule and the Medicare caps nearly doubling to $139, the process has become far more intricate. When we strain out the costs that aren't covered under the All-Inclusive Rate (AIR), we're often left with a much thinner soup—sometimes so thin that the cost per visit doesn't meet the Medicare caps. This shortfall can result in substantial paybacks to Medicare, an outcome we all want to avoid.
Mixing metaphors, the risk of falling off the tightrope and facing a large payback to Medicare is very real. The key to avoiding this is careful planning throughout the year. Regularly checking on your cost per visit and planning strategically can help optimize your 2024 settlement and 2025 interim rate.
To help RHCs navigate this challenging terrain, Healthcare Business Specialists is hosting a webinar titled:
RHC Cost Reporting Planning for 2024 and 2025: How to Optimize Your Medicare Rate
In this session, our team of experts—Mark Lynn, Dani Gilbert, Page Chambers, and Trent Jackson—will guide you through the essential steps RHCs can take in 2024 to optimize their Medicare rates and potentially avoid paybacks. Topics will include the importance of interim cost reports, proper accrual of expenses, tracking costs not included in the All-Inclusive Rate, understanding the impact of entity type on owner compensation, depreciation calculations, claiming bad debts, and more.
Webinar Details:
Title: RHC Cost Reporting Planning for 2024 and 2025: How to Optimize Your Medicare Rate
Date: September 26, 2024
Time: 1:00 PM EDT
Registration Link:
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Enhance Patient Care and Increase Revenue by Integrating Clinical Pharmacy Services with NO UPFRONT COSTS
We invite you to discover how integrating clinical pharmacy services can significantly improve patient outcomes and boost your CMS reimbursements. VitalSync Health is excited to offer you a comprehensive solution to seamlessly incorporate these valuable services into your clinic's operations.
Why Consider Clinical Pharmacy Services?
1. Improved Patient Care: Enhance medication management and overall health outcomes for your rural population.
2. Increased Revenue: Tap into significant CMS incentive payments for providing value-based care.
3. Streamlined Operations: Our platform integrates multiple ancillary services, simplifying your workflow.
Join Our Informative Webinar
Date: September 24, 2024
Time: 1:00 PM EDT Duration: 45 minutes
Location: JOIN HERE https://attendee.gotowebinar.com/register/4535334173339160922
Presenters:
§ Lavance Northington, CEO, VitalSync Health
§ Dr. Stacy Ramirez, Direct of Clinical Pharmacy, VitalSync
In this webinar, you'll learn:
1. How to implement clinical pharmacy services without any upfront costs
2. Steps to design and implement an effective program
3. Strategies for leveraging our platform for ongoing monitoring and improvement
4. Methods to ensure compliance and maximize CMS reimbursements and incentive payments
5. Ways to improve patient engagement, outcomes and satisfaction
6. Techniques to integrate our services seamlessly into your existing workflow
By integrating clinical pharmacy services, your rural health clinic can take a significant step towards becoming a Patient-Centered Medical Home, ultimately leading to better care and improved health outcomes for your community.
Don't miss this opportunity to transform your clinic's services and enhance your patients' lives. Register for the webinar today at https://attendee.gotowebinar.com/register/4535334173339160922
We look forward to helping you revolutionize your patient care approach.
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IMPLEMENTING A REMOTE MONITORING PROGRAM IN A RURAL HEALTH CLINIC
with VitalSync Health and Throughcare Webinar
April 11, 2024
Unlock the potential of enhanced Medicare reimbursements for Rural Health Clinics (RHCs) with our pivotal webinar, designed to guide you through the expanded utilization of HCPCS code G0511. Starting in January 2024, Medicare's updated guidance provides RHCs a golden opportunity to deliver superior, value-based chronic care management services to underserved rural populations. This expansion not only broadens the scope of reimbursable services under G0511 but also marks a significant stride towards facilitating comprehensive care management, including Chronic Care Management (CCM) for patients requiring 20 minutes or more of clinical staff time per month.
Previously, RHCs were limited to billing G0511 for a singular care management service per patient each month. The 2024 modifications revolutionize this approach by permitting multiple billings for distinct, qualified services per month, as long as they are medically necessary and meet all billing requirements. This development underscores the importance of precise billing practices and the strategic implementation of care management services, ensuring that RHCs can maximize their reimbursement potential while enhancing patient care.
In collaboration with Vitalsync Health and Lavance Northington, we are excited to offer an insightful one-hour webinar, shedding light on how RHCs can effectively implement remote patient monitoring (RPM) and integrate cutting-edge strategies into their care delivery models. This session will delve into:
Billing Strategies: Explore innovative ways to incorporate remote monitoring, interactive communication, and data reporting into a cohesive therapy plan that aligns with the expanded G0511 guidelines.
Remote Monitoring Equipment: Learn how to establish a successful RPM program, enabling patients to monitor their health with provided equipment, such as blood pressure cuffs, weight scales, glucose monitors, and pulse oximeters, facilitating continuous care beyond clinic walls.
Chronic Care Management: Learn how a unified RPM and CCM solution enables providers to deliver personalized treatment plans to patients, increase patient, engagement and adherence, gain real-time access to data for timely interventions, and increase CMS reimbursement for both RPM and CCM billing.
Social Determinants of Health: Address the crucial factors affecting health outcomes and strategies to reduce hospital visits and alleviate patient stress, thereby improving overall wellbeing.
Telehealth Use in Rural Healthcare: Discover how Telehealth and RPM can transform the accessibility and efficiency of rural healthcare, overcoming common barriers and enhancing the patient-provider connection.
Attendees are eligible for one hour of CEUs from the National Association of Rural Health Clinics (NARHC) at a Certified Rural Health Clinic Professional (CRHCP) level, provided they watch the webinar LIVE, and engage in 3 of 4 poll questions.
Vitalsync Health, renowned for its innovative “white glove” services, partners with physician practices to transition from traditional care models to a comprehensive, coordinated approach. This collaboration aims to improve patient outcomes, strategize on patient population management, reduce overall care costs, generate new revenue, and achieve 5-star quality ratings.
Dan Godla from Throughcare will provide a recorded message on the recent guidance provided by CMS on G0511 in the RHC Fact Sheet.
Join us to navigate the intricacies of Medicare’s G0511 expansion and leverage the full potential of remote patient monitoring to elevate care in rural health clinics.
Please register for Implementing a Remote Monitoring Program in a Rural Health Clinic with VitalSync Health on April 11, 2024 1:00 PM EDT at:
https://attendee.gotowebinar.com/register/1380939763288600149
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RHC COST REPORTING FOR 12/31/2023
February 4, 2024: It is that time of year again. This cost report season looks to be the most demanding yet. Due to significant modifications within the Rural Health Clinic (RHC) program introduced by the Consolidated Appropriations Act, 2021 (CAA), there has been a notable increase in the National Statutory Upper Payment Limits. These adjustments have escalated the per visit reimbursement rate to $139 in 2024, with an increase to $190 by 2028. Furthermore, the program has expanded to include various services that do not fall under the All-Inclusive Rate, necessitating their exclusion from the cost-per-visit calculation. These changes underscore the heightened influence of cost reports on financial settlements, both positive and negative, as well as the increased complexity and time required for their preparation. To ensure the timely and accurate completion of your cost report, we strongly advise that all requisite information be uploaded to your designated portal by May 1, 2024. Failure to meet this deadline may compromise our ability to guarantee the timely filing of your report.
To help you accumulate the information needed to file an accurate and timely cost report we have provided the following resources and will have a webinar on February 6, 2024 to go over the requirements. Provided below is a 3-page Cost Report checklist, a 24-page checklist and supporting workpapers that should be completed for us to have all the information needed to file the cost report, or if you prefer an Excel file to complete the workpapers is included as well.
RHC Cost Report Checklist for 2023 Medicare Cost Reports with workpapers (25 page PDF)
HBS RHC Cost Report Client Electronic File to enter data for 12 31 2023 cost reports (Excel)
HBS RHC Cost Report Client Cost Report information needed in PDF format (PDF)
Cost Reporting for Rural Health Clinics - What is needed to file an accurate and timely cost report
In this webinar, Mark Lynn, CPA (Inactive), CRHCP, CCRS and Dani Gilbert, CPA, CRHCP, Page Chambers, CIA, CRHCP, and Trent Jackson, CCRS will go over cost reporting for Rural Health Clinics. Topics covered will include information needed to be compiled for preparation of the cost report, electronic filing of cost reports using MCREF, allowable expenses on the cost report, increased upper limits for RHCs, counting visits including how to treat telehealth, CCM, and other services not included in the calculation of the All-Inclusive Rate, Medicare Bad Debts, and flu, pneumococcal, COVID-19 vaccines, and MAB infusions/injections. The webinar will go over the process for gathering information to file cost reports with Healthcare Business Specialists so no continuing education credits for CRHCP since is a client The webinar will last one hour and some time for questions will be available.
Please register for Cost Reporting for Rural Health Clinics - What is needed to file an accurate and timely cost report on Feb 6, 2024 1:00 PM EST at:
https://attendee.gotowebinar.com/register/885934129964292700
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CHRONIC CARE MANAGEMENT WEBINAR WITH DAN GODLA FROM THOROUGHCARE, INC.
Do you need information on how changes to G0511 and Chronic Care Management services affect RHCs in 2024 and do you need Continuing Education Credit for your Certified Rural Health Clinic Professional Certification? Here is a quick, free way to do both.
Update on Chronic Care Management covered services in RHCs for 2024 with Dan Godla from ThoroughCare, Inc.
In this webinar Dan Golda from ThoroughCare, Inc will discuss updates to Medicare's Chronic Care Management covered services in RHCs for 2024. The Chronic Care Management services which can be provided and paid for to RHCs is substantially different in 2024 with several new services being paid for in the RHC environment. This is a great opportunity to provide necessary services to our rural, underserved patients as well as open new revenue streams for RHCs. The webinar will be 45 to 60 minutes and there is no charge. This webinar qualifies for one hour of continuing education credits for Certified Rural Health Clinic Professionals (CRHCP) from the NARHC if at least 3 of the 4 poll questions are answered during the session.
Please register for Update on Chronic Care Management covered services in RHCs for 2024 with Dan Godla from ThoroughCare, Inc. on Feb 15, 2024 1:00 PM EST at:
https://attendee.gotowebinar.com/register/3613965414804474454
Dan Godla from ThoroughCare, Inc. will be presenting on Chronic Care Management on February 15, 2024
RHC COST REPORTING & BILLING WEBINARS
Healthcare Business Specialists is pleased to provide several webinars over the next few months or so as we strive to keep rural health clinics informed of changes to the RHC program. We are pleased to partner with other entities that have important information to share with the RHC community. More information regarding these webinars can be found at www.ruralhealthclinic.com or go to our Facebook Group called the Rural Health Clinic Information Exchange:
https://www.facebook.com/groups/1503414633296362/
You can find a 3-page listing of the webinars and the registration links here.
RHC COST REPORTING - WHAT TO DO BEFORE YEAR-END
In this webinar, Mark Lynn, CPA (Inactive), CRHCP, CCRS, Dani Gilbert, CPA, CRHCP, Page Chambers, and Trent Jackson will go over important year-end Rural Health Clinic cost reporting deadlines, how to ensure you optimize your reimbursement in an environment of increased Medicare caps for Independent or Freestanding RHCs. We will discuss the importance of writing off Medicare bad debts on or before 12/31/2023 in order to file them on the Medicare Cost Report. Please register for RHC Cost Reporting - What to do before Year-End on Nov 14, 2023 1:00 PM EST at:
https://attendee.gotowebinar.com/register/2850484329874010197
You can find the recording of the presentation here
To download a PDF of the Powerpoint presentation click here
NEW TO RHC - FOR NEW RHCS OR CLINICS CONSIDERING BECOMING AN RHC
In this webinar, Mark R. Lynn, CPA (Inactive), CRHCP, CCRS will present information to providers interested in becoming a rural health clinic (RHC) or RHCs new to the RHC program. It will provide basic information on conditions of participation, reimbursement, billing, and cost reporting. We will discuss advantages and disadvantages of the program and identify resources to help you become RHC compliant and obtain RHC reimbursement from Medicare and Medicaid. This 45-minute webinar is designed for people new to the RHC program or have become interested in converting their medical clinic into a rural health clinic under Public Law 95-210. We will discuss the nine conditions of participation, some basics of Medicare and Medicaid reimbursement, provide a timeline for certification, and provide some basic benchmarking information from provider based and independent RHCs.
Please register for New to RHC - For New RHCs or Clinics considering becoming an RHC on Nov 28, 2023 1:00 PM EST at:
https://attendee.gotowebinar.com/register/6552984183422388565
You can find the slides for the presentation here
You can find a recording of the session here.
RHC UPDATE SEMINARS IN NOVEMBER, 2022
After taking a few years off due to Covid-19, Healthcare Business Specialists is again providing our one day update seminar for RHCs in Alabama, Kentucky, and Tennessee. This one-day seminar is designed to update rural health clinic administrators, billing personnel and providers on relevant changes to the RHC program regarding billing, cost reporting, PRF funds, grants, certification and other administrative changes to the rural health clinic program. If you are a client of Healthcare Business Specialists (HBS) you may send two people to the seminars free of charge, additional people above 2 from each client will be charged $100 and for non-HBS clients the fee is $100 for this seminar. Lunch will be provided by our sponsors which are Azalea Health (www.azaleahealth.com), Main Street Health (www.mainstreetruralhealth.com) and Kentucky Medical Billing Associates, Inc. The seminar will start at 9:00 AM with registration beginning at 8:30. The seminar should be over sometime between 3:00 PM and 330 PM. There is no required registration on site if you are registered ahead of time, just sign in that you are here. If you do need to cancel, please let us know ahead of time and if you have paid and need to cancel we will refund you if you notify us ahead of time.
Use the QR Code to register for the seminar you would like to attend.
Preliminary Agenda for the RHC Update Seminar in Somerset, Kentucky. Slight changes in timing may occur based upon availability of speakers.
Preliminary Agenda for the RHC Update Seminar in Jackson, Tennessee. Slight changes in timing may occur based upon availability of speakers.
Preliminary Agenda for the RHC Update Seminar in Nashville, Tennessee. Slight changes in timing may occur based upon availability of speakers.
Preliminary Agenda for the RHC Update Seminar in Birmingham, Alabama. Slight changes in timing may occur based upon availability of speakers.
VIRTUAL SELF-SURVEY WEBINAR ON MAY 19, 2020
VIRTUAL SELF SURVEY WITH AAAASF AND TCT
(TOM TERRANOVA, KATE HILL, AND ELSIE CRAWFORD)
In this webinar, Mark Lynn of Healthcare Business Specialists will conduct a virtual RHC Compliance walkthrough of an RHC with AAAASF and TCT. Tom Terranova (AAAASF), Kate Hill (TCT), Elsie Crawford (AAAASF) will virtually walk through with us and will point out what an RHC Certification inspector is looking for when they tour the facility. They will point out common deficiencies and provide best practices for RHCs to undertake as they prepare for their initial RHC certification inspection or for a recertification inspection. AAAASF and TCT will provide a description of their current inspection processes in the light of COVID-19. AAAAF and TCT will update RHCs on how COVID-19 has changed the infection control processes in RHCs and what steps should be taken to protect patients, staff, and providers during the COVID-19 Public Health Emergency. If you have questions or concerns you would like addressed on this topic, please send them to Mark Lynn at marklynnrhc@gmail.com with the Subject: "Virtual Self-Survey Questions" and we will add them to our slides. This webinar will focus on the walkthrough aspects of an RHC self-survey. We plan on having a future followup Self Survey Inspection webinar addressing items such as Policies and Procedures, Emergency Preparedness, Protocols, chart reviews, program evaluations, and other paperwork aspects of a mock inspection. This particular webinar will focus on just the walkthrough aspect to keep our time and 1 hour or so. If you do have questions about the paperwork aspect of the mock inspection, go ahead and email those questions to us using the same Subject "Virtual Self-survey Questions.
Please register for Virtual Self Survey with AAAASF and TCT (Tom Terranova, Kate Hill, and Elsie Crawford) on May 19, 2020 12:00 PM CDT at:
https://attendee.gotowebinar.com/register/627882019289589263
After registering, you will receive a confirmation email containing information about joining the webinar. Brought to you by GoToWebinar® Webinars Made Easy®
Here is a PDF that has some of the information we will go over in the webinar:
2019 & 2020
RHC Update Seminars
Please save the date for these FREE RHC Update Seminars scheduled for 2019 and 2020.
locations, dates, and registration links:
Nashville, Tennessee - 10/30/2019 - Register Here Agenda
Somerset, Kentucky - 11/06/2019 - Register Here Agenda
Clanton, Alabama - 01/16/2020 - Register Here Agenda
RHC Update Seminars in Fall, 2017
RHC Update Brochure (2-Page Summary PDF)
RHC Update Brochure (10-page Detailed PDF)
This year the RHC Update seminars will focus on RHC Billing (Medicare) and Emergency Preparedness, Cost Reporting, Annual Evaluations, and Tenncare Quarterly Wrap Reporting (Tennessee Only). The RHC Update Seminar will cost $250 for the entire day. If you only need to attend the morning session or the afternoon session the fee is $175. The morning session is on Medicare Billing for RHCs. The entire morning will be on Medicare Billing for RHCs and the session will run from 8:45 to 12:00. If you only want to attend this session use the discount code BILLING and the professional fee will $175. The session will include a USB drive with complete up to date billing information for RHCs including Billing Policies and Procedures.
If we prepare your cost report or are doing your startup (and you are current on your bill), there is no charge for two EMPLOYEES. (Your consultant is welcome, but they cannot be a free person - they must pay the full charge) After two employees, the normal fees apply. The discounts are for only cost report and startup clients only. Lunch is on your own. Everyone will receive a Certificate of Completion for Emergency Preparedness documentation USB drive with all of our presentations, forms, templates, billing documents including a model fee schedule derived from the QVL listing with HCPCS and Medicare allowables presented, cost reporting files, policies and procedures, and annual evaluation documents. We will not print the presentations, but will provide them via links before the seminars.
10/26/2017
8:30 to 4:30
Nashville, Tennessee
Tennessee Hospital Assoc.
Virginia Way Conference Ct
5201 Virginia Way
Telephone: (615) 401-7436
Brentwood, TN 37027
http://events.constantcontact.com/register/event?llr=h9cmzvdab&oeidk=a07ee0gw23bb0c07466
10/27/2017
8:30 to 4:30
Cleveland,
Tennessee
Fairfield Inn and Suites Cleveland
2815 Westside Drive
Telephone: (423) 664-2501
Cleveland, TN 37312
http://events.constantcontact.com/register/event?llr=h9cmzvdab&oeidk=a07eeiabsiu69081e82
11/2/2017
8:30 to 4:00
Birmingham, Alabama
Courtyard Birmingham Colonnade/Grandview
4300 Colonnade Parkway,
Birmingham, AL 35243
Telephone: (205) 967-4466
http://events.constantcontact.com/register/event?llr=h9cmzvdab&oeidk=a07ee0gw2apfbc0cb8c
11/3/2017
8:30 to 4:00
Little Rock, Arkansas
Residence Inn by Marriott Little Rock
219 Rivermarket Avenue
Little Rock, Arkansas 72201
Telephone (501)-376-7200
http://events.constantcontact.com/register/event?llr=h9cmzvdab&oeidk=a07eemthueld5b0fd98
11/10/2017
8:30 to 4:00
London, Kentucky
London Community Center
529 S Main St,
London, KY 40741
Telephone: 606) 864-7777
http://events.constantcontact.com/register/event?llr=h9cmzvdab&oeidk=a07ee0gw2o4c7c933f7
Nashville - October 26, 2017
Event Landing Page - Nashville
Registration Page - Nashville
http://events.constantcontact.com/register/event?llr=h9cmzvdab&oeidk=a07ee0gw23bb0c07466
HERE ARE THE LOCATIONS AND THE REGISTRATION LINK
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JACKSON, TENNESSEE
APRIL 20, 2017
8:30 to 4:00
RESIDENCE INN BY MARRIOTT
126 OLD MEDINA CROSSING
TELEPHONE (731) 935-4100
JACKSON, TN 38305
For More Information go to the link below:
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KNOXVILLE, TENNESSEE
APRIL 21, 2017
8:30 to 4:00
KNOXVILLE MARRIOTT
501 E. HILL AVENUE
TELEPHONE (865) 637-1234
KNOXVILLE, TN 38305
For More Information go to the link below:
HTTP://CONTA.CC/2MHT1AN
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AUGUSTA, GEORGIA
APRIL 11, 2017
8:30 to 3:30
AUGUSTA MARRIOTT AT THE CONVENTION CENTER
2 TENTH STREET
TELEPHONE (706) 722-8900
AUGUSTA, GA 30901
For More Information go to the link below:
HTTP://CONTA.CC/2NAZA63
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INDIANAPOLIS, INDIANA
APRIL 7, 2017
8:30 to 3:30
Location
Residence Inn Indianapolis Downtown on the Canal
350 W New York Street
Indianapolis, Indiana 46202
To Register for the RHC Update Seminar