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Maximize Reimbursements: 2024 Coding and Billing Strategies for FQHC and Behavioral Health

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Maximize Reimbursements: 2024 Coding and Billing Strategies for FQHC and Behavioral Health

Course Description:

During this webinar we will discuss Coding and Documentation for FQHC and Behavioral Health Services. We will review the qualified providers for Medicare. We will also review the G codes and qualifying codes. During this session we will outline the importance of medical necessity. By the end of the session participants will understand the documentation requirements for initial diagnostic evaluations, psychotherapy, crisis and interactive complexity. We will also spend time on the requirements of the treatment plan as this is a key and required element for behavioral health services. We will review the ICD-10 coding of signs/ symptoms related to behavioral health.

Learning Objectives:

  • Define the qualified providers for Medicare
  • Review behavioral health coding and documentation
  • Select ICD-10 coding for signs, symptoms, and factors influencing health status
  • Determine the requirements for documenting behavioral initial diagnostic evaluation
  • Determine if a CPT/ HCPCS code is considered a qualified code for Medicare
  • Determine the requirements for documenting psychotherapy
  • Understand the requirements for a treatment plan

Areas Covered in the Session:

  • Qualified Providers for Medicare
  • G codes and Qualifying Codes
  • Initial diagnostic evaluation
  • Psychotherapy
  • Interactive Complexity
  • Medicare
  • FQHC Services
  • Medicare G codes
  • Qualifying Codes
  • Behavioral Health Services and Documentation
  • Medical Necessity
  • Assessment
  • 90791 and 90792 – template for documentation
  • Initial Diagnostic Exam – Template Example
  • Psychiatric diagnostic evaluation
  • Treatment Plan Development
  • Treatment Plan with Examples
  • Findings from an OIG review in New York
  • Discharge Summary
  • Therapy
  • Psychotherapy Additional Documentation Requirements
  • Technical Documentation Elements
  • Documentation highlights
  • Progress Notes
  • Group Psychotherapy
  • Family Psychotherapy
  • Psychotherapy for Crisis
  • ICD-10
  • ICD-10 Diagnosis – All care must have a diagnosis
  • Common Z codes
  • Signs/ Symptoms – R codes
  • Live Q&A Session

Suggested Attendees:

  • Healthcare Executives
  • Physicians
  • Nurses
  • Coder
  • Billing Specialists
  • Providers
  • Administrators
  • Managers
  • Claims Adjusters
  • Reimbursement Staff
  • Therapists/ Counselors
  • FQHCs
  • Anyone working in FQHCs

About the Presenter:

Shellie has 20 years of experience in the health care industry, with diverse experiences as a nurse, internal compliance auditor, and health care consultant. Shellie began her health care career as a licensed practical nurse working for Saint Luke’s Health System in Kansas City, MO. After developing her clinical expertise, Shellie transitioned to a new role as an internal compliance auditor focusing on documentation quality and coding accuracy.

Shellie co-founded Coding & Compliance Initiatives, Inc. (CCI) in 2003, and is recognized for her extensive knowledge of documentation and coding guidelines. Shellie’s combined knowledge of clinical processes, along with CPT and payer guidelines enables her clients to operate in compliance with health care regulations, while improving their documentation quality, charge capture, coding accuracy and cash flow. In addition, her combined knowledge as a clinician and certified professional coder (CPC) enables her to communicate effectively with physicians/ providers regarding appropriate documentation and coding guidelines by bridging the provider’s clinical knowledge with the documentation requirements outlined by CPT, Medicare, and other regulatory bodies.

Shellie is a certified ICD-10 trainer, having earned her ICDCT-CM designation in 2012. Shellie is a member of the American Academy of Professional Coders (AAPC), and is a speaker for the Health Care Compliance Association (HCCA) and AAPC.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

  • Internet Speed: Preferably above 1 MBPS
  • Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

Snippet From Our Previous Session:


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Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff

"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN" 

Sandie Fowler, Out of Network Billing Staff

"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer

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