Coding and Billing Bootcamp for CAHs

Boost compliance, improve revenue, and align clinical and admin teams with this focused training for Critical Access Hospitals (CAHs). This two-day, virtual, live bootcamp series led by ARCHPRO Coding and Consulting is perfect for anyone involved in documentation, coding, or billing in rural healthcare.

Sessions will describe the vital areas that affect all members of the CAH workforce related to CPT, HCPCS-II,& ICD-10-CM coding and billing; focusing on their impact on revenue, facility mission, population and public health reporting. Who Should Attend:

• Coders/billers who have come from "traditional provider offices or hospitals" or are new to the unique nature of billing for the services Critical Access Hospitals and/or Small Rural Hospitals will benefit by gaining a better understanding of the CAH designation and CAH-specific rules for coding/billing.

• Managers who hire staff, manage people and policies, supervise the coding/billing staff will benefit by gaining a high-level overview of  CAH designation criteria and the systems/processes required to main CAH status with emphasis on coding/billing.

•  Providers who create clinical documentation (e.g. MD/DO/PA/NP) will benefit by gaining a better understanding the coding/billing nuances that are specific to different hospital service areas.

Agenda - Day 1 (9:00AM-3:00PM):

• Introduction and Testing Details

• Overview of CAH Designation and Cost-Based Reimbursement

• Introduction/Review of Coding Manuals

• HCC (Hierarchical Condition Category) & SDOH (Social Determinants of Health) Coding to support Value Based Care and Reimbursement

• Swing Bed and Inpatient Coding

• Outpatient/Ancillary Facility Coding

• Emergency Department Facility and Professional Fee Coding
  

Agenda - Day 2 (9:00AM-3:00PM):

• Same Day Surgery and Anesthesia Coding

• Hospital Professional Fee Coding

• Billing and reimbursement overview for Swing bed, Inpatient facility, Hospital Outpatient facility, and hospital professional fees

• Method I, Method II, and CRNA Pass-through payment option

• Revenue codes and their relationship to CPT codes, Billing, Compliance, and cost reporting

• Guidance on how improving current billing practices and systems can translate into increased revenues

• Identification of common issues that impact denials

CEUs and Certification:

• 11 CEUs Approved by AAPC & ArchProCoding

• Upon completing the live class authorized attendees will be able to take the Critical Access Hospital Coding and Billing online certification exam.  The exam is 100 questions and is scored immediately. If a 70% is achieved, the certification for Critical Access Hospital Coding & Billing Specialist (CAH-CBS) will be granted by ARCHPRO Coding and Consulting.

Cost:

The course fee is $150 - scholarships are available by contacting Debbie Lowenthal at dlowenthal@alaskahha.org. This class normally costs $349-$699; AHHA is able to offer this reduced rate to members through the use of Flex Grant funds.

Instructor: Jackie King, MSHI, RHIA, CCS, CPC, COC - Vice President of Hospital Education, ICD-11 Readiness Expert

With over 35 years in healthcare, Jackie King has held clinical and leadership roles in rural hospitals, RHCs, and physician practices. Her experience spans HIM, ACO compliance, clinical informatics, and quality management. Jackie earned her Master’s in Health Informatics from the University of Illinois at Chicago and served as a leader at the Illinois Critical Access Hospital Network (ICAHN) and the IRCCO ACO before launching her consulting firm in 2022.

Since 2019, Jackie has been a consultant with ARCHPRO Coding and Consulting, where she develops and teaches the Critical Access Hospital Coding & Billing Boot Camp. Her focus includes documentation audits, education, and promoting best practices in rural healthcare. Based in Rock Falls, IL, Jackie is a nationally recognized speaker passionate about improving rural health systems. 

Please note - registered attendees will receive instructions for accessing the training on February 22, the day before the class begins.