Annual FQHC Documentation, Coding & Billing Training

Objectives:

Outline the vital distinctions between clinical documentation protocols vs. professional coding rules vs. varying requirements of insurance payers vs. reporting accurate quality metrics (if required by payers).

Identify the CMS-covered Preventive Services including the Initial Preventive Physical Exam, Annual Wellness Visits, and additional covered preventive services Medicare will cover on a periodic basis.

Review key areas of the “ICD-10-CM Official Guidelines for Coding and Reporting” in the context of the revenue cycle and quality care reporting including the Social Determinants of Health.

Objectives:

Provide detailed instruction on the AMA’s and CMS 2022/2023 E/M documentation guidelines, and the distinction between proper reporting of “Sick” and “Well” visits and when they can both be reported on the same encounter.

Compare/contrast traditional Telehealth vs. Virtual Communication Services and what to expect after the PHE ends.

Objective: Outline Care Management revenue options including Principal/Chronic Care Management, Transitional Care Management, Behavioral Health Integration, and the Psychiatric Collaborative Care Model.

Objective: Facilitate peer-to-peer learning through the sharing of best practices.

Objective: Facilitate discussion, information sharing, and problem solving among Arizona FHQCs, MCOs, and the state Medicaid agency.