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The first half of this three-hour workshop will break down the general requirements for RHC designation and essential billing fundamentals. The second half of the workshop will offer insight into billing for special services and an overview of the all-inclusive rate (AIR) reimbursement system.

Agenda highlights include:
  • Introduction
    • What is an RHC?
    • Staffing requirements
    • Hours of operation
    • Required RHC services
  • Part I: RHC billing fundamentals
    • Determination of independent or provider-based designation
    • Billing basics
    • Qualifying visit requirements
  • Part II: RHC billing special services
    • Preventive services
    • Incident-to services
    • Diagnostic and other services
    • Services reimbursed under fee schedule
  • Part III: Essential payment and reimbursement principles
    • Analyzing the AIR and allowable costs
    • Applying Part B deductible and coinsurance
A case study and review with a live Q&A session will follow each of the three segments, with short breaks provided after each Q&A.
 
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MAGNET(TM), MAGNET RECOGNITION PROGRAM(R), and ANCC MAGNET RECOGNITION(R) are trademarks of the American Nurses Credentialing Center (ANCC). The products and services of HCPro are neither sponsored nor endorsed by the ANCC. The acronym "MRP" is not a trademark of HCPro or its parent company. HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC). HCPro is not affiliated in any way with the Institute for Healthcare Improvement (IHI).