Tough Topics In FQHC

Total time of all webinars: 12 – 1 hour webinars, 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:

These sessions are now available on-demand, 2 CEU’s per session are available for completing each session and it’s post course assessment.

$99

Tough Topics In FQHC 1: Care Management Services

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$99

Tough Topics in FQHC 3: Traditional Preventive Services

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$99

Tough Topics in FQHC 4: Medicare Preventive Services

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$99

Tough Topics in FQHC 5: Diabetes and DSMT Services

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$99

Tough Topics in FQHC 6: Obstetric Diagnosis Reporting

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$99

Tough Topics in FQHC 7: Substance Use Disorders

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$99

Tough Topics in FQHC 9: Practice with Outpatient E/M Guidelines

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Past Sessions:

These sessions have been completed and will be converted to on-demand soon!

Tough Topics in FQHC 8: Foot and Wound Care – Nursing Interventions

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Tough Topics in FQHC  10: Behavioral Health Services for Non-prescribers

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Tough Topics in FQHC 11: Communicating Effectively with Clinicians

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Tough Topics in FQHC 12: Risk-Based Reimbursement

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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

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