Rural Health Clinics: Understanding the Impact of the New Reporting Requirements

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Rural Health Clinic Updates

Presented on:
Thursday, August 18 2016
1:00–2:30 p.m. Eastern

Presented by:
Debbie Mackaman, RHIA, CPCO, CCDS

As of April 1, rural health clinics (RHC) must report revenue codes and HCPCS codes and charges for all services on separate lines outside of the qualifying visit line—a significant change to RHC billing. Proper reporting of revenue codes, HCPCS codes, and charges for qualifying visits, items, and services is now more important than ever.

During the program, expert speaker Debbie Mackaman, RHIA, CPCO, CCDS, will discuss this challenging regulatory change and its supporting CMS guidance, cover how to operationalize the change, and review the change’s potential impacts. Mackaman will help participants understand the basic billing requirements of an RHC, comprehend the changes to the requirements, identify new reporting requirements, and pinpoint financial implications and compliance risks.

At the conclusion of this program, participants will be able to:

Understand the purpose of an RHC and the impact of the required reporting
Identify the new CMS reporting requirements for RHCs
Describe the latest changes to the CMS requirements and guidance effective for dates of service April 1–September 30, 2016 and effective for claims filed on or after October 1, 2016
Illustrate the financial implications and compliance risks related to the new reporting

Meet the Speaker

Debbie Mackaman, RHIA, CPCO, CCDS, is the developer and lead instructor for HCPro’s Medicare Boot Camp^®—Critical Access Hospital Version and Rural Health Clinic Version and an instructor for the Hospital Version and Utilization Review Version. She serves as a regulatory specialist for HCPro’s Medicare Watchdog services, specializing in regulatory guidance on coverage, billing, and reimbursement for hospitals, physicians, and other healthcare providers.

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