Twelve 1-hour webinars, a total of 24 CEUs with post-course assessments.
Series Description:
In our Tough Topics in the FQHC series, we will dig into tough coding scenarios that face the FQHC coder. We will study guidelines from CPT and (where applicable) CMS for each service type and explore the differences in reporting services for our varied population. We will address keys to success and errors to avoid. Coders are often expected to know the answers to all the coding conundrums an office faces. This series is aimed at addressing the most pressing topics and equipping coders to properly investigate and respond to questions on our tough topics.
On-demand Sessions:
2 CEUs are available for completing each session with it’s post course assessment. If you are interested in additional training on the topics please contact BCA for custom training options.
Tough Topics In The FQHC: Care Management Services
Tough Topics in the FQHC: Modifiers
Tough Topics in the FQHC: Traditional Preventive Services
Tough Topics in the FQHC: Medicare Preventive Services
Tough Topics in the FQHC: Diabetes and DSMT Services
Tough Topics in the FQHC: Obstetric Diagnosis Reporting
Tough Topics in the FQHC: Substance Use Disorders
Tough Topics in the FQHC: Practice with Outpatient E/M Guidelines
Tough Topics in the FQHC: Foot and Wound Care, Nursing Interventions
Tough Topics in the FQHC: Behavioral Health Services for Non-prescribers
Tough Topics in the FQHC: Communicating Effectively with Clinicians
Tough Topics in the FQHC: Risk-Based Reimbursement
Agenda/Timeline Per Session
Introduction to Topic – 5 minutes
- Outline complexities associated with the service discussed
Guidelines – 30 minutes
- CPT Guidelines unique to the service
- CMS Guidelines unique to the service
- ICD-10-CM Guidelines pertaining to associated conditions
- Impact of specialty societies and third party payer guidance
Service Coding Variables – 30 minutes
- Nuances of coding for service type
- Necessary documentation components to support service type
- Pitfalls of poor documentation habits
- Top errors discovered in third-party audits
Data Analysis – 10 minutes
- Appropriate report types to help coders analyze
- Potential candidates for services
- Associated coding errors
- Frequency of reporting (service and diagnosis codes)
- Billing outcomes by payer
Building Templates/Prompts for Success – 10 minutes
- Coder contributions to template building
- Setting work queues for target analysis (e.g., random review, 100% reviews for new service lines)
- Key indicators for modifier review/application
- Targets to know when additional services are supported
Additional Resources for the FQHC – 5 minutes
- Service-specific websites, tools, resources
- FQHC-specific resources at CMS.gov
- Benefits and value of networking
Learning Objectives:
Participant will:
Collect, catalog, and access resources for FQHCs
Strengthen current coding and documentation practices through data analysis and template support
Understand the critical role coders play in education and support of new lines of service Build an ongoing collection of resources for FQHC coders.