The course is designed to provide an overview of Medicare’s guidelines on billing, coding and payment for services provided in a Rural Health Clinic (RHC) setting.

Target Audience

• Physicians
• Clinical Nurse Specialists
• Nurse Practitioners
• Physician Assistants
• Practice Administrators
• Billers and Coders
• Quality Assurance Staff

Learning Objectives

Participants will learn:

• What is a Rural Health Clinic (RHC)?
• RHC Designation and Conditions of Certification Requirements
• Define RHC Encounter Types and Qualifying Encounters
• Medicare Coverage for Opioid Use Disorder Treatment Services
• Provider-Based vs. Independent RHC Billing
• Core Principals of Reporting RHC Revenue Codes
• Billing for RHC and Non-RHC Services
• RHC Claims Processing – Billing for Medicare Part A versus Medicare Part B Services
• Claim Form Completion and Submission Requirements
• Identify Modifier Use for RHC Billing
• Medicare Coding, Billing and Reimbursement for Opioid Treatment Program Services
• RHC Billing Examples
• Common RHC Claim Errors
• An Overview of RHC Cost Reporting
• RHC Participation in Medicare Shared Savings Programs

There are no live classes available at this time. See below for more options.