Welcome to...
by Healthcare Business Specialists
Mark R. Lynn
RHC Consultant
Email: la_vita_nouva@hotmail.com
Suite 214, 502 Shadow Parkway
Chattanooga, TN 37421
Tele: (423) 899-0945
Fax: (800) 268-5055
Specializing in Rural Health Clinic
Reimbursement
RHC Cost Reports - Annual Evaluations -
RHC Startups - RHC Seminars
Welcome to the Healthcare Business
Specialists home page dedicated to Rural Health Clinics (RHCs). We have designed this
site to provide the latest information on rural health clinics and information
on Rural Health Clinic Update and RHC Boot Camp seminars. The seminars cover Medicare cost reporting, billing, annual evaluations, certification,
and the operation of RHCs as certified by Medicare under Public Law 95-210. We hope that
you find the website helpful to you and please let us know if there is something
we can do to make the website more useful.
Healthcare
Business Specialists is a Chattanooga, Tennessee-based consulting firm
which specializes in rural health clinic reimbursement and prepares rural health
clinic cost reports, annual evaluations, provider enrollment, and RHC
startups. Mark R. Lynn, CPA (inactive) is trained as a certified public accountant and has over
30 years experience in the healthcare field with almost 25 years of
experience devoted almost exclusively to rural health clinics. We have
been conducting rural health clinic seminars for over 20 years.
Annual Evaluations
Cost Reports
Cost Report Reviews
RHC Startups
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list.)
Website Update - February 16, 2013
It has been awhile since we have updated the website. Last Fall our server stopped supporting Frontpage 2003 and all our file corrupted at the same time. We finally recovered the files and started communicating to our server using Dreamweaver; but, the learning curve is steep on how to use the software. We will be using Constant Contact to register for this years seminars. If you will email la_vita_nouva@hotmail.com, I will get you subscribed to the newsletter and you will not miss anything. We have been storing documents on Constant Contact until we understand how to post them here. Here is what we have done recently and the seminar information for 2013.
RHC Seminar information for 2013 and Registration Form
Our February 11, 2013 Newsletter
Our February 4, 2013 Newsletter
We prepared a 90-page report on Medicare services. This report includes all the Med-Learn articles related to Medicare Preventive Services, especially those that are new in 2011 and 2012.
Medicare Cost Report Averages (2010)
We entered 25 of our 2010 independent RHC Cost Reports in an Excel spreadsheet and averaged the amounts for several items on the cost report. Here are the results:
The
April 2nd, 2012 issue of HBS Update
2012 HBS Update April 2 2012.pdf
April 2, 2012 This
week the RHC Billing and Cost Reporting Seminars will be in London,
Kentucky and Indianapolis, Indiana. There is still room all of the
locations and we look forward to seeing you there. In Savannah, Georgia and
Columbia, South Carolina we will be having Adele Allison at the seminars
doing a special session on Patient Centered Medical Home and she will be
able to answer all your Electronic Health Records stimulus questions as
well. She is an expert in both of these important areas.
The seminar evaluations have ranked the seminars a 4.8 out of 5.0
so far so even through I had to dust a little rust off my presentation skills
last week as the seminars started, they were well received and everyone made
valuable contacts to help manage their rural health clinics. This week attendees
will hear about The Most Profitable Patient in the World, the Chevy Caprice, the
Magic Room, and the biggest threat to the RHC program.
People have been asking what the materials will look like at the
seminar and here are some of the draft materials from next week’s session.
Draft RHC Presentation for the Billing Portion of the Spring
Seminars
2012 Rural Health Clinic Billing Cheatsheet.pdf
2012 Rural Health Clinic Billing Quiz.pdf
2012 5010 Transition UB-04 Claims Requirement Cheatsheet.pdf
There will
be a 300 page Workbook for both the Billing and Cost Reporting Sessions and a
DVD full of information on rural health clinic billing and cost reporting. If
you want to know what will be on the DVD, here is screenshot of
just a fraction of the files that are included on the DVD. The
cost for just the Workbook/DVD is $100 per session or $150 for both. To
register, just scroll down to the hyperlinks below or click on 2012 Seminars.
Links to
interesting information concerning rural health clinics
This survey of rural
health clinics in Missouri was published this week and has some interesting
information in it:
http://www.health.mo.gov/living/families/ruralhealth/pdf/2011DataSummaryReport.pdf
http://www.health.mo.gov/living/families/ruralhealth/pdf/2011ComprehensiveDataReport.pdf
This is a
very nice two-page cheat sheet on RHC Billing from the Colorado Office of Rural
Health.
http://www.coruralhealth.org/programs/rhc/documents/billingreference.pdf
Here are a
couple of presentations by Captain Corrine Axelrod from CMS on rural health
clinics:
http://www.nosorh.org/news/files/axelrod_presentation.pdf
http://www.healthlawyers.org/Events/Programs/Materials/Documents/MM12/papers/H_axelrod_slides.pdf
Rural Health
Clinic Medicare Deeming Authority Approved
This article from the law firm Hall Render is very relevant to rural health
clinics or those clinics that may become a rural health clinic. Here is the text
of the blog and the link to the site.
"On Friday, March 23, 2012, the Centers for Medicare and
Medicaid Services (“CMS”) published a final Federal Register notice
informing the public that an application for Rural Health Clinic (“RHC”)
deeming authority has been approved. This RHC deeming authority, the first
of its kind, was granted to the American Association for Accreditation of
Ambulatory Surgery Facilities (“AAAASF”) and expires March 23, 2016. As a
result, in addition to CMS, AAAASF is now able to confirm compliance with
the RHC Conditions of Participation. Providers looking to open a new RHC or
to convert a pre-existing clinic to RHC status will therefore be able to
obtain a survey to confirm compliance with the Medicare Conditions of
Participation on an expedited basis as compared to the ordinary Medicare
survey process.
This is an important development since the current
survey process for new RHCs is subject to a tiered priority system that
serves to delay CMS/State Agency surveys for new RHCs. Specifically, CMS
has implemented a four-tiered priority system. Under this system, subject
to certain exceptions, highest priority for new surveys is given to Tier I
providers (e.g., statutorily mandated surveys of existing nursing homes)
while lowest priority for new surveys is given to Tier IV providers (e.g.,
surveys performed only if tier one through tier three surveys are
completed).
Currently, RHCs are classified as Tier III providers.
Practically speaking, this means that many providers applying for new RHC
status must wait for long periods of time (often up to a year) before being
able to obtain an RHC survey. We understand from AAAASF that unannounced
surveys will be conducted within approximately 45 days after completed
application materials have been received..." To read the rest of the
article: go to the following link or to go directly to the accreditation
website go to the next link.
http://blogs.hallrender.com/rural-health-clinic-medicare-deeming-authority-approved
http://rhcaccreditation.org/index.html
The
March 23th, 2012 issue of HBS Update
HBS Update for March 23
2012.pdf
|
Description |
Page |
|
RHC Seminars are just around the corner. Sign Up Now!!!! |
2 |
|
Sample listing of items on the Seminar DVD |
3 |
|
Patient-Centered Medical Home Seminar information |
4 |
|
Trailblazer loses appeal and Novitas is the new MAC for
Jurisdiction H |
6 |
|
Part B ee Schedule has increased 962% faster than RHCs over… |
7 |
|
Become a Fan of Healthcare Business Specialists on Facebook |
10 |
|
RHC Update Seminars |
12 |
Here are some sample presentations from
our seminars next week.
Draft RHC Presentation for the Billing Portion of the Spring Seminars
2012 Rural
Health Clinic Billing Cheatsheet.pdf
2012 Rural Health
Clinic Billing Quiz.pdf
Many of you have
received our two-page brochure or Postcard and if you have never been to our
website before, we welcome you. If you would like to register for the RHC Seminars the registration is now open and
live. We are doing the seminars a little differently this year to give you more
options. With more options, there is more confusion, so if you have any
questions just email them to Mark Lynn at
la_vita_nouva@hotmail.com or call
me at (423) 243-6185 (my cell phone) and I will try to answer any questions you
have. Here is the RHC registration form that you can fax to me at (800) 268-5055
or scan and email to me. Here is the link:
2012 RHC Billing and Cost Report Registration Form (7 pages).pdf
This is the
Postcard that many should have received in the mail:
2012 RHC Update Seminars PostCard 4 by 6.pdf
This is the brochure that was mailed as well:
2012 RHC
Seminars Brochure (2 page mailer).pdf
Online Registration
is live and you can register by clicking on the following hyperlinks. There is
an online registration form for each of eight seminar locations. If you have
questions, or get confused when registering multiple people from the same clinic
for different seminars, you may want to use the Registration form above and only
use one per person. You can always, just email me if you have any questions.
Birmingham, Alabama
Nashville, Tennessee
London,
Kentucky
Indianapolis, IN
Savannah, Georgia
Columbia,SC
Little Rock, Arkansas
St.Louis, Missouri
If you are having
problems using the IACS portal to retrieve your P S and R report, this 8
page report will guide you through the process of selecting the report and
printing it.
http://www.cms.gov/psrr/downloads/QuickGuideProviders.pdf
The
March 9th, 2012 issue of HBS Update
http://myemail.constantcontact.com/Bad-Debt-Collection-Procedures-to-Change--Provider-based-Billing-Presentation.html?soid=1103464106823&aid=QESNGtTQoRc
Our latest
19 page newsletter with lots of Information regarding rural health
clinics. Here is the Table of Contents and the link below. The issue
includes a the bad debt collection process to change, the PRRB to offer
Non-binding arbitration on physician compensation issues, and other issues.
Here is the Table of Contents:
|
Description |
Page |
|
Bad Debt Collection Process to Change |
2 |
|
PRRB to offer Non-binding arbitration on Physician Comp. |
4 |
|
CMS proposes 10 year look-back review of provider payments |
5 |
|
PA and NP Salary Survey |
6 |
|
Tenncare Quarterly Reports |
7 |
|
Provider-based Billing Presentation |
8 |
|
ACO Survey is on its way to Rural Health Clinics. Look for it!!!! |
11 |
|
RHC Update Seminars |
13 |
2012 HBS Update March 9
2012.pdf
Provider-Based Rural Health Clinic Billing Presentation
If you are interested
in what type of material will be presented at our upcoming seminars, the
following presentation on provider-based clinics is a good representation of
the type of information that will be presented in the seminars:
2012 Provider Based Billing Presentation in March 2012.pdf
The
February 24th, 2012 issue of HBS Update
Our latest
19 page newsletter with lots of Information regarding rural health
clinics. Here is the Table of Contents and the link below. The issue
includes a sample of the benchmark information that will be presented in our
cost report seminars. This information will only be released at the cost report
seminar and will not be on the website.
|
Description |
Page |
|
The 2012 RHC Cost Report Workbook was mailed |
2 |
|
The 60-day Rule and the 30-day Explained |
3 |
|
Benchmarks for Physicians, Nurse Practitioners, and PAs |
4 |
|
Medicare now covers Weight Loss Counseling |
7 |
|
Mental Health Services in a rural health clinic |
8 |
|
Annual Evaluation Template Updated |
9 |
|
ACO Survey is on its way to Rural Health Clinics. Look for it!!!! |
11 |
|
RHC Update Seminars |
13 |
2012 HBS Update
February 24 2012.pdf
The
February 17th, 2012 issue of HBS Update
Our latest
21-page newsletter with lots of Information regarding rural health
clinics. Here is the Table of Contents and the link below.
|
Description |
Page |
|
Bad Debt Reimbursement Reduced with SGR Fix |
2 |
|
Are your charges and coding keeping pace |
4 |
|
Office of Civil Rights and HIPPA audits |
7 |
|
Annual Evaluation Template Updated |
9 |
|
Medicare Preventive Services |
10 |
|
Medicare Part B Fee Schedule avoids a 27% cut |
11 |
|
ACO Survey is on its way to Rural Health Clinics. Look for
it!!!! |
12 |
|
RHC Update Seminars |
13 |
2012 HBS Update
February 17 2012.pdf
Become a Fan and like us on Facebook
February 17: We have a Facebook Fan page which is filled with information on
a daily basis regarding rural health clinics. Why wait till Friday to find
out what is going on? Become a fan by following the link and liking us.
http://www.facebook.com/pages/Healthcare-Business-Specialists/123096777748776
February 16, 2012:
This note from Bill
Finerfrock from the NARHC came in this evening.
The House and Senate negotiators included language in their agreement to
phase-down the amount of Medicare bad debt RHCs and CAHs can claim from 100% to
65% over three years beginning in January, 2013. Because this is a phase down
rather than an immediate cut, there is an opportunity (beginning next year, this
year is shot) to try to get this rescinded or
limit the amount of the cut. In effect, Congress is cutting Medicare payments to
RHCs and CAHs to partially pay for the temporary SGR “fix”.
Write off all the bad debts that you can in 2012, so you claim 100% of the bad
debt on the cost report; before your reimbursement is limited to 65%
February 15, 2012:
I noticed that we are getting a lot of hits for the annual evaluation template
that we updated in 2010. Today, I updated our template to consider patient
centered medical home and information on HIPPA Risk Assessments. Here is the
link to the updated document:
Annual Evaluation
Template revised on February 15, 2012 (36 Page PDF)
Additionally, this form was
emailed to the NARHC Listserve today regarding patient satisfaction. This form
ties in nicely with the annual evaluation.
2012 Annual Evaluation satisfaction survey from NARHC Listserve on February 15
20102.mht
There are a lot of
questions regarding preventive services and this presentation may have most of
the answers you need. This is from Highmark Medicare Services and was presented
on January 24, 2012. Highmark is planning another presentation on Preventive
Services in late March or early April, so watch their website for more
information.
https://www.highmarkmedicareservices.com/calendar/parta/pdf/tc-handouts-012412.pdf
More on Preventive
Services. This is The Guide to Medicare Preventive Services, 4th Edition, March,
2011.
http://www.cms.gov/MLNProducts/downloads/mps_guide_web-061305.pdf
The following links take
you to the CMS - Medicare Preventive Services website as well as a listing of
Medicare publications that will assist you with billing preventive services,
Quick Reference Chart, basics of the IPPE Exam, ABCs of the Annual Wellness Exam
and a listing of education products including brochures to hand out and
distribute to your patients.
http://www.cms.gov/MLNProducts/35_PreventiveServices.asp
https://www.cms.gov/MLNMattersArticles/downloads/SE1142.pdf
http://www.cms.gov/MLNProducts/downloads/MPS_QuickReferenceChart_1.pdf
http://www.cms.gov/MLNProducts/downloads/MPS_QRI_IPPE001a.pdf
http://www.cms.gov/MLNProducts/downloads/AWV_Chart_ICN905706.pdf
http://www.cms.gov/MLNProducts/Downloads/education_products_prevserv.pdf
http://www.medicare.gov/Publications/Pubs/pdf/10110.pdf
February 14, 2012:
Many of you have received our two-page brochure or Postcard today and if you
have never been to our website before, we welcome you. If you would like to
register for the RHC Seminars the registration is now open and
live. We are doing the seminars a little differently this year to give you more
options. With more options, there is more confusion, so if you have any
questions just email them to Mark Lynn at
la_vita_nouva@hotmail.com or call
me at (423) 243-6185 (my cell phone) and I will try to answer any questions you
have. Here is the RHC registration form that you can fax to me at (800) 268-5055
or scan and email to me. Here is the link:
2012 RHC Billing and Cost Report Registration Form (7 pages).pdf
This is the
Postcard that many should have received in the mail:
2012 RHC Update Seminars PostCard 4 by 6.pdf
This is the brochure that was mailed as well:
2012 RHC
Seminars Brochure (2 page mailer).pdf
Online Registration
is live and you can register by clicking on the following hyperlinks. There is
an online registration form for each of eight seminar locations. If you have
questions, or get confused when registering multiple people from the same clinic
for different seminars, you may want to use the Registration form above and only
use one per person. You can always, just email me if you have any questions.
Birmingham, Alabama
Nashville, Tennessee
London,
Kentucky
Indianapolis, IN
Savannah, Georgia
Columbia,SC
Little Rock, Arkansas
St.Louis, Missouri
If you
would like to subscribe to our weekly newsletter on rural health clinics, just
email la_vita_nouva@hotmail.com
and type subscribe or use the Constant Contact form above. For even faster
information, friend me on Facebook and look for the daily links that I post.
Here is a sample of today's (February 14th) posts.
1. Administration makes $9.1 million available for primary care in underserved
areas
2. President Obama proposes 2013 budget (impact on healthcare)
3. CMS to examine ICD-10 implementation timeline
4. 10 Evolving Issues for Hospitals, Health Systems, Physicians & ACOs
To view the links to these articles and more, friend me on
Facebook by clicking the link below:
budget/http://www.facebook.com/profile.php?id=534825756&ref=tn_tnmn
February
14, 2012: Here is some really neat data from the CMS regarding payment,
frequency, and charges of some of your most common CPT codes. This data is raw
and in the form of an Excel Spreadsheet.
Part B Raw Data of CPT Codes from 2009 Data with average charge, average payment
and Frequency
A Case Study of a Rural Pediatric Practice conversion to a Certified Rural
Health Clinic
February 11, 2012: Healthcare Business
Specialists released a case study (white paper) on the development of a rural
health clinic.
Case Study (White Paper) on the Development of a Rural Health
Clinic
RHC
Cost Report Workpapers Notebook Complete
The RHC Cost Report Workbook for 2011 cost
reports is complete and will be Fed Exed to our Cost Report clients next week.
If you would like for us to prepare your cost report, please email Mark Lynn at
la_vita_nouva@hotmail.com as soon
as possible while I still have some availability. The entire Cost Report
Notebook is available to download online. Here are the links to the PDFs for
each chapter of the 200+ page book, plus a presentation on a Cost Report Audit
Issues I presented for the Indiana Rural Health Association last summer.
2011 Indiana Rural Health Association Cost Report Audit Issues including
Physician Compensation and supporting documents.pdf
2012 RHC Cost Report Workpapers Tab 1 (New Information - Preventive Services -
Form 222).pdf
2012 RHC Cost Report Workpapers - Tab 2 (339 Questionnaire and Form 838 Credit
Balance Report and Instructions).pdf
2012 RHC Cost Report Workbook - Tab 3 (Medicaid Cost Report Information).pdf
2012 RHC Cost Report Workpaper Notebook -Tab 4 (RHC Workpaper Checklist - Audit
Program - Instructions from MACs.pdf
2012 RHC Cost Report Workpapers - Tab 5 (Trial Balance of Expenses and Work
Program).pdf
2012 RHC Cost Report Workpaper Notebook
-Tab 6 (Reclassifications - Payroll - W-2s - Lab Reclassification).pdf
2012 RHC Cost Report Workpapers Notebook - Tab 7 (Adjustments - Accruals -
Physician Compensation - Physican Compensation Tables - Depreciation
Schedules).pdf
2012 RHC Cost Report Workpapers Notebook - Tab 8 (Visits - Visit Counts -
CPT Frequency Reports - Provider Time Studies).pdf
2012 RHC Cost Report Workpapers - Tab 9 (Influenza and Pneumococcal Injection
Logs).pdf
2012 RHC Cost Report Workpapers Notebook - Tab 10 (Influenza & Pneumococcal
Invoices).pdf
2012 RHC Cost Report Workpaper Notebook - Tab 11 (P S & R Report - New Medicare
Preventive Charges Workpaper - IACS Instructions).pdf
2012 RHC Cost Report Workpapers Notebook - Tab 12 (Medicare Bad Debts - Bad Debt
Form - Bad Debt Checklist - Bad Debt Instructions).pdf
Before we get off the
cost reporting issue, remember that if you accrue expenses for owners, they must
be liquidated within 75 of year-end (March 15th this year due to the leap year)
and clinics have one year to liquidate expenses to non-owners (with an exception
of up to 3 years). These rules do not apply to sole proprietorships or
partnerships. The rules are a little complex, so here is the link to the Federal
Register.
http://edocket.access.gpo.gov/cfr_2007/octqtr/42cfr413.100.htm
RHC Billing and Cost Reporting Seminar
Update
A couple of reminders about the seminars.
If you are in Tennessee, the Comptroller of the Treasury will be at the cost
reporting session to discuss the proper completion of the Tenncare Quarterly
Report. There is not a lot of guidance on this report and it has a tremendous
effect on your overall reimbursement. This is a great chance to ask your
questions to the Tenncare officials that are responsible for the Quarterly
settlements and rate setting.
In Nashville, Birmingham, Savannah, and
Columbia, SC, Adele Allsion will be presenting from 1:00 to 3:00 on Patient
Centered Medical Homes. If you are not familiar with this concept, Adele is an
expert in this area and will help you learn why this accreditation can improve
patient care and increase your clinic's profitability. All clinics, not just
rural health clinics will be interested in hearing what Adele has to say about
this exciting program. Here is some information from SuccessEHS's website to
help you understand the concept.
SuccessEHS
has turned its expertise to the patient-centered medical home model
(PCMH) in compliance with NCQA-PPC-PCMH since 2007 and has
enumerable clients that have received this recognition all over the
country. SuccessEHS feels very strongly about this model of care
delivery for purposes of quality improvement, care coordination and
reduced health care costs. Believing, at the end of the day, the
PCMH initiative is really not about technology, but delivering
quality of care and value to the patient, SuccessEHS is committed.
As part of its software and specialized services, SuccessEHS offers
practice redesign and NCQA-PPC-PCMH Certification Consulting
Services to its clients.
For
additional information on how SuccessEHS can help with PCMH
recognition, please contact Adele Allison at 888.879.7302 or
adelea@successehs.com or
enter your information to download your free PCMH whitepaper.
RHCs and
CPT Coding
In St.
Louis, Carolyn Duncan will be speaking about CPT Coding and rural
health clinics. This session will last from 1:00 to 3:00 in the
afternoon and is back by popular demand. Carolyn presented at our
St. Louis seminar last year and was outstanding. Wit h the changes
to Medicare Preventive services and the complexity of coding the
preventive claims, 5010 transition, and ICD -10 implementation just
around the corner, this session is very important for RHCs and
coders to avoid future slow downs in cash flow.
CMS
announces corrected RHC rate for 2012
February 6, 2012:
I am completely revising the 2012 Medicare
Workpaper Notebook with updated forms and content. I should be finished in the
morning and will Fed Ex (2-day) to our clients by mid-week. Here is some of the
information from the book that you can use to help get your information ready
for cost reporting.
2012 Medicare Cost
Report Checklist for Rural Health Clinics
2012 Medicare Cost Report Model Workpapers for Rural Health Clinics (12 Tabs)
CMS announces revised rate for RHCs for
2012. The new maximum cost per visit is $78.54.
CMS Corrected RHC Reimbursement Rate for 2012 - January 30, 2012
HBS
Update for February 3, 2012
Our latest newsletter dated February 3,
2012 includes information on a change to the maximum RHC reimbursement rate for
2012, a new study on rural health clinics and high tech, something on negative
reimbursement from Trailblazer, an update on the 3-day rule and Trailblazer
losing the MAC contract for their region.
HBS Update February 3, 2012 (17 Page PDF)
To Register for our seminars, email,
fax, or mail this form to us or register online
2012 RHC Billing and Cost Report Registration Form (7 pages).pdf
Look for this
Postcard in the mail:
2012 RHC Update Seminars PostCard 4 by 6.pdf
Look for this brochure in the mail as well:
2012 RHC
Seminars Brochure (2 page mailer).pdf
Here is a cheat sheet from for 5010 Claims
Processing based upon the February 2nd, 2012 HRSA Technical Assistance phone
call. If you would like the slides from that phone call, here is the link:
Slides (PDF - 1 MB)
This is the cheatsheat that includes all
81 Form Locators from the UB-04 and instructions on how each form Locator should
be completed. Plus, at the end it has a reference guide with several great links
that will help you with RHC billing.
2012 5010 Transition UB-04 Claims Requirement Cheatsheet.pdf
Its time
for RHCs to start trying figure out how to get the P S and R report from
Medicare. Here is a good two document to help you get started. We will have full
instructions when our Cost Report Notebook is finished next week. This should
get you started. If you want to start accumulating information, you can use the
2011 checklist for now. I provided a link to it as well:
https://www.cms.gov/psrr/downloads/Registration_Tips_FI_MAC.pdf
2011
RHC Cost Report Checklist.pdf
Pinnacle Business Solutions has a good
Excel Spreadsheet for the accumulation of Bad Debts. Here is a Link to the
spreadsheet.
http://www.pinnaclemedicare.com/provider/parta/ar/EXHIBIT5BADDEBTS.xls
_____________________________________________________________________________________________________________________________________
RHC Billing and Cost Reporting Seminars
January
31, 2012
Well,
it has been two weeks since I announced the seminars and I have not completed
the registration forms or updated the website yet. We had a little emergency
trip to Arizona, California, and Kentucky to clinics that received State
inspections and were not up to date on their annual evaluations, so remember
that is a condition level
deficiency. The annual evaluation must be completed annually in order for the
clinic to stay in compliance with RHC regulations.
We did
get a couple things done in regards to the seminars. Carolyn Duncan will be
back in St. Louis (April 27th, 2012) for a special session on CPT coding for
rural health clinics from 1:00 PM to 3:00 PM and the cost will be $100.00 for
this session. You can go to this, if you do not want to attend the cost
reporting session. More on this session as I prepare the materials for it.
We did
get a confirmation that the State Comptroller's Office in Tennessee will be
attending the Nashville meeting. They can explain any questions you have
regarding the quarterly Tenncare
Report.
Julie Rogers and Greg Hawkins are conformed for this meeting.
We have
also confirmed that Adele Allison from SuccessEHS (http://www.successehs.com/)
will be presenting on "Rural Health Clinics and Patient Centered Medical Home
Status" at several of the
locations. So far we have Birmingham, Savannah, and Columbia, SC as locations
for Adele to present from 1:00 to 3:00 PM on patient
centered medical homes. The cost for this session is $125.00 and can be attended
instead of our cost reporting session. More on this as we firm up the details.
By the
end of the week registration will be live on our website at
www.ruralhealthclinic.com and we will be sending out another email with
information on how to register.
HBS
Update January 16, 2012
January 16, 2012:
Several people have been asking about our RHC seminars for 2012. I am working on
the materials and how to sign up at this time; however, if you want to save the
date. Here are the locations and the dates. This year we will be doing something
different. We will be doing a morning seminar on Billing from 9:00 to 12:00 and
and an afternoon seminar on cost reporting and annual evaluations from 1:00 to
4:00. We wanted to spend more time in these basics as some people have been
having problems in these areas and we wanted to go back through the basics to
ensure everyone understood the basics. The Seminar schedules will be as
follows:
Billing: The
cost of this session is $200.00 and includes the booklet/handouts and DVD.
9:00 to 9:55
The Building Blocks - What to do once you have become a rural health clinic -
How to get Started.
10:00 to 10:55
How rural health clinic billing differs from RBRVS billing and some basic
concepts/
11:00 to 12:00
The Ten Most difficult Questions to answer regarding RHC billing and how to
increase the revenues of your RHC.
Lunch is on your
own.
Cost Report: The
cost of this session is $200.00 and includes the booklet/handouts and DVD
1:00 to 1:55
What is the cost report, why it is important, what can go wrong, base year
strategies, MACs, what is needed to complete a cost report.
2:00 to 2:55
Preparation of the cost report. Counting Visits. Physician compensation issues,
Working with the MACs, Appeals, Preparing Workpapers, and a sample cost report.
3:00 to 3:55
Annual Evaluations. Why they are important? How to conduct one? When are
they due? Files to assist you in preparing them.
If you go to both
sessions, the cost will be $300.00. Here are the locations, dates, and hotels.
Date
City Hotel
March 29, 2012 Birmingham, Alabama Embassy Suites
March 30, 2012 Nashville,
Tennessee Embassy Suites
April 5, 2012 London, Kentucky Country Inns and Suites
April 6, 2012 Indianapolis, Indiana Med-Mate Corporate
April 19, 2012 Savannah, Georgia Hyatt Regency
April 20, 2012 Columbia, South Carolina Embassy Suites
April 26, 2012 Little Rock, Arkansas Embassy Suites
April 27, 2012 St. Louis, Missouri Crowne Plaza
May 1, 2011. The
latest newsletter on Rural Health clinics is attached below:
2011
HBS Update May 1 2011.pdf
|
Description |
Page |
|
Seasonal Vaccines would be a condition of participation under proposed
rules affecting RHCs |
2 |
|
HIT Grant Announced |
6 |
|
More Technology Information |
7 |
|
How new RHCs should process claims. Worksheet 14. |
8 |
|
CPT Coding Presentation by Carolyn Duncan, CPT, CPT-H |
10 |
This is the form that RHCs can use
to settle with Cahaba during the start up process.
2011 Retroactive Recognition Worksheet from Cahaba called Worksheet 14 for Part
B claims during the new startup phase.xlsx
This presentation on CPT Coding will be
conducted on May 6, 2011 in St. Louis.
2011 CPT Coding Presentation by Carolyn
Duncan in St Louis MO on May 6 2011.ppt
HBS
Update Newsletter Dated April 5, 2011
We just completed the April 5, 2011 HBS
Update Newsletter. There is a lot of interesting reading information in this
newsletter regarding rural health clinics. As a reminder the RHC Update seminars
start on Thursday in Nashville and Friday in Knoxville. It is not too late to
register. Here is the table of contents to the April 5th newsletter.
HBS Update Newsletter Dated
April 5, 2011
Please check out our sponsors for the RHC
Update Seminars
Indianapolis, IN
http://www.medmate.com/
Columbia, SC
http://www.mdeverywhere.com/
|
Description |
Page |
|
Have RHCs reached the tipping point? |
2 |
|
Numbers, Numbers, Numbers |
4 |
|
RHC Reimbursement |
5 |
|
General Information on Medicare and Medicaid |
6 |
|
Cahaba
and Trailblazer mail P S and R reports |
7 |
|
Status of Proposed Rules and Republican budget would kill RHCs |
8 |
|
Patient Centered Medical Home |
9 |
|
Electronic Health Records Notes from NARHC meeting |
10 |
|
RHC Update Seminars |
16 |
HBS
Update Newsletter Dated March 31, 2011
I just wanted to remind you that the
RHC Update seminars are starting next Thursday, April 7th in
Nashville and April 8th in Knoxville. The seminars start at 9:30 AM
in the morning so it is easy to drive in to them without paying for a hotel. The
seminar in Nashville is really getting full, so let us know soon if you want to
go. Also, cost reporting is in full swing, so get your information into me as
soon as possible. I am looking forward to seeing you at the seminars this
spring. You may want to check our website (www.ruralhealthclinic.com) in the
next few days to view some of the presentations that will be made next week.
If you missed the NARHC conference in
San Antonio last week you missed Susan Harr, MPR, CPHIMS, program director of
the Iowa Foundation for Medical Care (the Iowa Regional Extension Center) rave
about the service of SuccessEHS based in Birmingham, AL. If you want to know
more about their product and about EHR stimulus payments attend our Nashville
meeting and hear Adele Allison, National Director of Government Affairs from
SuccessEHS speak. Additionally, the Nashville seminar will feature Julie Rogers,
Marsha Holman, and Greg Hawkins from the Comptroller’s office discussing how to
properly complete the Tenncare Quarterly Reports. This is very important for
Tennessee RHCs as a very large majority of the benefit of being a rural health
clinic is derived from these reports and there are no written instructions. This
is your chance to ask questions regarding this important subject.
Great news for clinics that have
Cahaba as your MAC. Cahaba mailed out P S and R reports last week, so look for
them in the mail soon. The IACS system is still causing problems for providers
and very few are able to retrieve their reports. Thankfully, Cahaba recognized
this problem and mailed the reports. Hopefully, the other MACS will follow suit.
Bad news is that the $505 fee went into effect on March 25, 2011 for new RHCs
and recertification (you will be recertified every 5 years and have to complete
an 855A in some cases). Clinics will use pay.gov to
pay the fee using a credit card or echeck. Sorry, I did not get every
855A completed by the deadline. We gave it a good effort; but, the NARHC meeting
in San Antonio got in the way.
Washington is the rules for Accountable Care Organizations (ACOs) will be
released today. I would review those regulations closely before you are
purchased by a hospital or physician group, just to make sure the merger still
makes sense. The rules will guide provider
organizations in setting up exchanges of healthcare data to improve care and
reduce costs, as mandated under the Accountable Care Act.
Speaking of EHR Stimulus payments, they are real and being paid out. The
government has sent out $37 million so far in stimulus payments. Get your share.
Find out how my coming to our seminars this spring.
If you missed the presentation by Marjorie Young, Executive Director of Pine
Medical Group, Fremont, Michigan at the NARHC meeting you missed a lot of real
world information on how to become an accredited patient centered medical home.
I was surprised how fast they achieved accreditation. It only took them 3 weeks
to achieve Level 1 and 3 months to get to Level 3 if my memory serves me
correctly. Here are some resources if you are interested in this next step in
this new healthcare delivery of care model.
NCQA Standards can be found here:
This is the service Pine Medical uses for e-prescribing:
This is the patient registry service that Pine Medical uses:
-
Spring,
2011 RHC Update Seminars
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