1. business and industrial
2. company
3. annual report

NARHC FALL INSTITUTE
Located in Landmark BR 4-7 unless noted otherwise
2015
TUESDAY, OCTOBER 27, 2015
7:30 – 8:30 am
8:00 – 5:00 pm
Breakouts: U choose
8:30 – 9:25 am
9:30 – 10:30 am
Breakfast (on your own)
Registration
CONFERENCE VENDORS: Tues. & Wed. only (Landmark BR 1-3)
Landmark Ballroom 4-7
Majestic Ballroom B-C
Starting a New RHC – Robin VeltKamp
Maximizing Front End Collections – Marty Bennett
• Learning timelines/documentation
• Learn the importance of preparing for full compliance for
survey certification & recertification
• Develop, maintain, conduct a yearly review
• Opportunities for RHC Funding
Survey & Certification (panel)
• Learn the value of policy writing, to support successful
patient collections
• Workflow evaluation and modification
• Staff education and engagement
The two Deeming Entities (AAAASF & The Compliance
Team) as well as the Missouri Dept. of Health will talk
about their respective approaches to RHC survey,
certification, timelines, as well as address your questions.
William will discuss the top 10 deficiencies in the RHC in
Missouri.
CHOWs occur for many reasons. Maintaining current status
(PB or IND) is often preferred to avoid recertification as a
new RHC. Changing status has separate requirements but
can be obtained in conjunction with a CHOW.
• Key business reasons for hosp/phys integration
• RHC reimbursement implications
• Conversion of RHC provider number
Wm Nugent, AAAASF, & Kate Hill
RHC Change of Ownership Status/CHOWs –
Jeff Bramschreiber
10:30 – 11:00 am
11:00 – 11:45 am
Networking Break (Landmark BR 1-3)
RHC Billing: 101 –
7 Provider Based Requirements – Charles James, Jr
11:50 – 1:00 pm
1:00 – 1:55 pm
Lunch - provided (Crystal BR)
RHC Billing: Advanced –
Task Management – Sarah Badahman
Cost Reports: 101 – Julie Quinn & David James
Telehealth – Tracey Burke
2:00 – 2:45 pm
• Learn billing basics including acronyms
• Learn the background & building blocks
• Learn the difference between Medicare & Medicaid
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Billing procedures for various types of rev codes
Changes in RHC regulations that will impact billing
Preventive Services, Non-RHC Services, Carve Outs
Incident To
Mental Health Billing
• What you need to complete the report
• Where it’s located on the report
• Common Cost Report Calculations
2:45 – 3:15 pm
3:15 – 4:10 pm
Networking Break (Landmark BR 1-3)
Cost Reports: Advanced – Julie Quinn & David James
4:15 – 5:00 pm
(Landmark BR 1-3)
MAC Discussions: WPS
5:00 – 6:00 pm
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How/when to report Non-RHC hours/Commingling Rules
Proper cost classification for rate maximization
Methods for calculating lab/X-ray/EKG reclassifications
Interest income, Medicare depreciation, Imputed
compensation for Sole Prop/Partnerships
• Related Party Transactions  FTE Calculations, Overhead
• Vaccine ratio calculations, data entry elements for B-1
PS&R crosswalk, Bad Debt overview, Sequestration
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Licensure  Clinical Services  Financial Integration
Public Awareness
 Joint Ventures
Obligations of hospital outpatient depts.
Requirements for Off-site locations
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Bringing life to policies and procedures
Identify procedures that are action items
Create and delegate tasks appropriately
Log the who, how, when of task completion
Evaluation of policy procedure effectiveness – task
management/evaluation a key component
• Creating a culture of documentation to comply with
policies/procedures adopted by the organization
With US healthcare transitioning from a volume to value
model, it is a critical time for health care providers to reevaluate & evolve their services to meet new model
quotas. Some healthcare providers must improve quality of
care & reduce readmission rates, or face penalties. Others
want to keep abreast of new technologies to compete &
satisfy the demands of their market. See how one
organization is incorporating TeleHealth into its RHCs.
Small Practice Management – Elsie Crawford
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Patient Centered Care
Access & Communication
Education of Patients
Care Management
Adoption & Use of Technology
Teamwork
Challenges
(Majestic BR B-C)
MAC Discussions: Novitas
(Majestic BR A)
MAC Discussions: Cahaba
• Top 10 billing errors, denials & rejections  Proper process to receive reimbursements  Learn who to contact
Reception (Hors d’oerves & beverages) (Washington)
Located in Landmark BR 4-7 unless noted otherwise
NARHC FALL INSTITUTE
2015
WEDNESDAY, OCTOBER 28, 2015
8:00 – 8:30 am
8:00 – 5:00 pm
8:30 – 10:00 am
10:00 – 10:30 am
10:30 – 11:30 am
Breakfast (on your own)
Registration (for any who didn’t register Wed.)
CONFERENCE VENDORS: Tues. & Wed. only (Landmark BR 1-3)
Legislative Update – Bill Finerfrock (Landmark BR 4-7)
• Learn about the latest rules & regulations coming out of Washington.
• Learn about possible changes likely to happen in the future.
• Learn how the Affordable Care Act continues to affected RHCs
Networking Break (Landmark BR 1-3)
Annual Meeting – All conference attendees should attend (members and non-members)!
 Ron Nelson Award
 Elections  Past year accomplishments  Goals for 2016  Financial Report
11:30 – 1:00 pm
Lunch (on your own) There are multiple restaurants within walking distance.
1:00 – 2:30 pm
ICD-10 Beyond Implementation: Now What? – Gary Lucas
2:30 – 3:00 pm
3:00 – 4:15 pm
Networking Break (Landmark BR 1-3)
Annual Evaluation & Peer Review, Going Beyond the Requirements – Glen Beussink
8:30 – 9:45 am
Breakfast (on your own)
Meaningful Use: Overcoming Stumbling Blocks – Nadine Robin (Landmark BR 4-7)
9:45 – 10:45 am
HIPAA Hazards and How to Avoid Them – Margaret C. Scavotto
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Top documentation challenges and major changes  Gaining physician buy-in and cooperation
ICD-10’s integration into coding & billing processes to maximize compliant revenue and reduce receivables
Learn how to build, maintain, & manage Clinical Documentation Awareness teams
Review of key elements of the Official Guidelines for Coding and Reporting
Overview of the CFR 491.11 Regulations & going beyond the requirement. The Annual Evaluation basics will be covered &
why you should include peer review. How and why we facilitate added review of financials, cost reports, charge master.
How we have been able to find improvement in revenue through this process, compliance to Chapter 13 benefits manual
as an audit tools for future audits, especially for PB. The Annual Evaluation is required. Why so many don’t perform it or
don’t use this tool, is because it’s not viewed as a real investment.
THURSDAY, OCTOBER 29, 2015
10:45 – 11:15 am
11:15 – 12:00 pm
This presentation will provide participants with resources, tools, guidance, and the practical examples to continue on a
successful path towards achieving Meaningful Use initiatives throughout Stage 1 (if stuck), Stage 2, and beyond to 3.
The Office of Civil Rights, which enforces HIPAA, has said that “the gloves are off” when it comes to 6- and 7-figure HIPAA
enforcement and penalties. That’s a big financial threat to providers, especially when considering that most HIPAA
violations involve inadvertent conduct, often due to one employee mistake. To make matters worse, HIPAA penalties are
just the tip of the iceberg when it comes to the costs of mitigating a data breach.
• Are your employees tweeting their way to a HIPAA violation?
• Will the government go easy on us if we are “working on” HIPAA compliance?
• If we have a HIPAA violation, what are the hidden costs we can expect to pay?
• What can we do to stay out of hot water?
Networking Break
(Landmark BR 1-3)
Updates to Shortage Areas (HSPA/MUA/MUP) – HRSA
• Attendees will learn the difference between the Data Release Date, the Date of Designation, and Designation Update.
• Attendees will find MUAs, which often have a 1978 Date of Designation, but no Update, will not work for a new RHC
• Attendees will learn that HPSAs have been “frozen” since Jan. 1 and why