Is Your Community Health Center (CHC) Fiscally Healthy? Not Sure?? Then Take Responsibility to Help Whip It in to Shape. Attend NACHC’s New Billing 101 Webinar and Tone Up with the Latest in Health Center Billing and Reimbursement.
Billing 101 Webinar Series
Now that the celebrations have ended and the confetti’s been cleared, it’s time to consider how the health care reform will impact reimbursement at Federally Qualified Health Centers (FQHCs). But what, if anything, will change in the revenue and/or billing process as a result of the new law? Billing is more than half of the average FQHC’s annual revenue, so this question requires a closer, detailed look.
Consequently, NACHC and Co-sponsors Priority Management Group (PMG) have designed an eight-webinar series, entitled Billing 101, to provide established FQHC’s, new starts and look alike health centers with:
- an overview of new coding systems involved as coverage expands and new rules for pre-existing conditions come into effect;
- benchmarking tools to analyze existing operations and best practice results at FQHCs nationwide existing billing results and
- an understanding of the changes in payment methodology for Medicare; and
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approaches to successfully managing new and increased revenue opportunities.
This new series provides tools and techniques that will support your FQHCs efforts to ensure that billing and collections procedures result in acquiring all revenues due for services provided in your health centers. Topics of discussion will include:
Session #1: Benchmarking and Key Performance Indicators; Thursday, Dec. 1 (2 – 3:30 pm Eastern)
Session #2: Credentialing, 855 Forms and NPI; Thursday, Dec 8 (2 – 3:30 pm Eastern)
Session #3: Sliding Fee Scale Management / Development; Thursday, Jan. 5 (2 – 3:30 pm Eastern)
Session #4: Charge Capture via EMR vs. Data Entry; Thursday, Jan. 12 (2 – 3:30 pm Eastern)
Session #5: Electronic Data Interchange (EDI); Thursday, Jan. 19 (2 – 3:30 pm Eastern)
Session #6: Payment Posting; Thursday, Feb. 9 (2 – 3:30 pm Eastern)
Session #7: Unpaid Claims Management; Thursday, Feb. 16 (2 – 3:30 pm Eastern)
Session #8: ICD 10: An Introduction; Thursday, Feb. 23 (2 – 3:30 pm Eastern)
Pricing and registration Information
The registration rate for each webinar in the Billing 101 Webinar series is $119. NACHC will only accept online registration for webinars. Registration for this series is on an individual webinar basis. To register for each dynamic webinar, click on the corresponding webinar registration link, then complete the individual webinar electronic registration form.
* Don’t miss this opportunity to get all the information, resources, and tools from the convenience of your desk; view the webinar schedule below to find out more information, and to register for an individual webinar.
Billing 101 Webinar Series Schedule
December 2011
Session#1
Benchmarking and Key Performance Indicators
Date: Thursday, December 1
Online registration deadline: Tuesday, November 29
Presenter: Robert Skeffington, MHA, Partner and Co-Founder, Priority Management Group, Inc.
Registration Fee: 119.00
Register Now.
Description: This session provides attendees with an understanding of the most important billing benchmarks and how to calculate at their FQHC. From Days in A/R to Net A/R, to billing staff performance, attendees will have real, FQHC- specific answers to their questions relating to best billing practices.
Webinar Learning Objectives: By the end of this webinar, participants will be able to:
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Understand the most common benchmarking tools used in health center billing departments.
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Learn to calculate common billing data into useful management & best practice tools for improvement.
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Determine the acceptable range of results for your FQHC’s outstanding claims in the important over 90 Days category.
Register here online.
Session #2
Credentialing, 855 Forms and NPI
Date: Thursday, December 8
Online registration deadline: Tuesday, December 6
Presenter: Caroline Peucker, VP Compliance and Consulting, Priority Management Group, Inc.
Registration Fee: 119.00
Description: This session provides attendees with an in depth understanding of the most common forms used in the initial provider credentialing and re-credentialing processes. Credentialing is one of the most important processes a health center can complete and also one fraught with potential mistakes and omissions which will delay needed reimbursement. Attendees will understand these forms, their relation to billing and collections and most importantly what a completed form with the correct information will look like.
Webinar Learning Objectives: By the end of this webinar, participants will be able to:
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Understand the most common forms and terms/acronyms used in the complex and byzantine credentialing process.
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Learn to decipher and complete the important CMS 855 form and its numerous versions (855 I, 855 R, 855 A).
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Discover the importance of National Provider Identifier (NPI), how to apply for a number and how it relates to billing.
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Identify a Medicare Administrative Carrier, and appreciate its importance in the organizations billing process and the ongoing transition to local intermediaries.
January 2012
Session #3
Sliding Fee Scale Management / Development
Date: Thursday, January 5
Online registration deadline: Tuesday, January 3
Presenter: Ray Jorgensen, President and CEO, Priority Management Group, Inc.
Registration Fee: 119.00
Register Now.
Description: This session provides attendees with an overview of the importance of fee schedules and their regular updates, various nationally utilized charge setting methodologies, Federal Poverty Guidelines and finally their impact to the organizations revenue. Presenter will offer choices which will be the best option for charge setting for FQHC organizations. Discussion will include ease of annual updates, adding new procedures at the health centers and utilizing fee schedules for provider productivity and tracking. Finally participants will learn the effect of health care reform with its impending changes and managing different payers in 2014.
Webinar Learning Objectives: By the end of this webinar, participants will be able to:
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Discover the most common approaches to charge capture
and best practices in each option.
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Identify areas of concern, including: the ranking and linking
of codes; EMR utilization; automation options; and payer of
last resort determination.
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Determine when, or when not to take contractual adjustment
at the time of charge entry.
Register here online.
Session #4
Charge Capture via EMR vs. Data Entry
Date: Thursday, January 12
Online registration deadline: Tuesday, January 10
Presenter: Caroline Peucker, VP Compliance and Consulting, Priority Management Group, Inc.
Registration Fee: 119.00
Register Now.
Description: Charge Capture is an integral portion of the revenue cycle and one where many errors occur that affect an organization’s payments. This session provides attendees with an overview of various methods currently utilized by CHCs and strengths / weaknesses of each approach. Also included is an in-depth explanation of payer of last resort, ranking and linking of codes, and if the organization should take contractual adjustment at the time of service.
Learning Objectives: By the end of this webinar, participants will be able to:
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Identify and explain various methodologies for fee setting
and which will work best for FQHCs. -
Explore methods of setting fees to maximize
reimbursement and comply with FPL guidelines. -
Understand the importance of annually updating the
schedule and managing changing payers by region.
Session #5
Electronic Data Interchange (EDI)
Date: Thursday, January 19
Online registration deadline: Tuesday, January 17
Presenter: Ray Jorgensen, President and CEO and Robert Skeffington, MHA, Partner and Co-Founder, Priority Management Group, Inc.
Registration Fee: 119.00
Register Now.
Description: Electronic Data Interchange or EDI is the fastest method of transmitting key billing data to payers. It speeds reimbursement to your organization, provides key data regarding denials as well as maintains an audit trail to ensure claims are received and paid appropriately. EDI is often underutilized by community health centers often to their detriment. This session provides attendees with an in depth understanding of the EDI process, options for deployment (clearinghouse or direct to the payer) and tools to best manage the information flow.
Learning Objectives: By the end of this webinar, participants will be able to:
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Understand the importance of electronic claims, common data points and bottlenecks and ways to speed reimbursement to the health center.
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Identify areas of improvement with tools to assist the participant view their EDI process and best practice methods deployed at successful CHC billing operations.
- Determine when, or when not to employ electronic claim clearinghouses vs. direct to payer claims processes.
February 2012
Session #6
Payment Posting
Date: Thursday, February 9
Online registration deadline: Tuesday, February 7
Presenter: Caroline Peucker, VP Compliance and Consulting, Priority Management Group, Inc.
Registration Fee: 119.00
Register Now.
Description: Payment Posting is not only an integral part of the billing process; it is one where significant amounts of information are available. From denials to underpayments to delays in reimbursement, payment posting is not just key punching information but also tracking key data about the organization and its fiscal situation. Participants of this session will understand the differences between legitimate adjustments vs. true denial codes, and delineate COB options and payer of last resort and differences between encounter rate and fee for service items.
Learning Objectives: By the end of this webinar, participants will be able to:
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Understand the payment posting process, whether electronic or manual, and common terminology involved in the process.
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Identify areas of concern, including: denial vs. adjustment; when and how to apply negative adjustments; and payer of last resort concerns.
- Determine which data elements are important to the billing process and how to track for future analysis.
Register here online.
Session #7
Unpaid Claims Management
Date: Thursday, February 16
Online registration deadline: Tuesday, February 14
Presenter: Ray Jorgensen, President and CEO and Robert Skeffington, MHA, Partner and Co-Founder, Priority Management Group, Inc.
Registration Fee: 119.00
Register Now.
Description: Unpaid Claims Management is one of the most underused tools in the CHC billing process. Community Health Center billing staffs are too often confused by the process, lack benchmarks / goals to gauge success and often relegate the task to the bottom of pile (I’ll get to it later”). Unpaid claims management should be viewed as an important part of the billing process and one with the greatest return on investment in most cases. Participants of this session will: gain an understanding of the unpaid claims management process; recognize methods used to complete the task (on line or telephonically); and learn how to measure success easily.
Learning Objectives: By the end of this webinar, participants will be able to:
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Understand the unpaid claims management process, its importance to both the health center and billing process, and how easy it is to complete.
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Identify which claims are the most important to include, best methods of processing (electronically or telephonically), and typical payer responses and which to accept.
- Become familiar with: the tools that enable the creation of an Unpaid Claims schedule; expected volume of claims completed per hour or day; and easy to use tracking benchmarks to measure success.
Session #8
ICD 10 An Introduction
Date: Thursday, February 23
Online registration deadline: Tuesday, February 21
Presenter: Caroline Peucker, VP Compliance and Consulting, Priority Management Group, Inc.
Registration Fee: 119.00
Register Now.
Description: The upcoming transition to ICD 10 will be the most significant change to Community Health Center coding in the last 20 + years. The current diagnosis code set includes more than 9,000 codes. The updated ICD 10 list exceeds 150,000 code options. This transition will affect not only providers but billing and EMR systems, contract negotiations and even front desk staff. Participants of this session will understand the transition, common planning tools, cost estimates as well as the up-to-date schedule for the transition. This session is one not to miss as its ramifications are far and wide throughout the healthcare industry.
Learning Objectives: By the end of this webinar, participants will be able to:
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Understand the why, when, and how of the impending transition to ICD 10.
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Identify areas throughout the organization which will be affected by this code update and to begin the important planning process to ensure readiness.
- Comprehend the need for a well developed and carefully implemented training plan across the entirety of the organization.
Questions?
If you have questions about this webinar series, please contact Sherry Giles at sgiles@nachc.com or 301.347.0400.
NACHC Cancellation Policy:
There is a cancellation fee of $50. The last date of cancellation is the same as the last day of registration. Cancellations received on or before the last day of registration will be assessed a $50 processing fee. Cancellations received after the last day of registration are non-refundable and not transferable to other NACHC webcasts. Should NACHC have to cancel this webinar for any reason, attempts will be made to reschedule. In this event, paid registrants will either have the option to participate in the rescheduled webinar, or will be provided a full refund.
