Upcoming Event
Care Management Services for FQHCs,
Virtual Communication Services and Remote Patient Monitoring for FQHCs
Discuss: The New 2021 Evaluation & Management guidelines
Share: How to apply them
Discuss: Proper FQHC G-payment code
Review: Chronic Care Management services and Principal Care Management for FQHCs
Discuss: an overview of Care Management Services for FQHCs
Review: Virtual Communication services for FQHCs
Discuss: detailed service and billing requirements
Speaker: Mr. Charles James Jr., President and CEO
North American Healthcare Management Services
Evaluation and Management Billing for FQHCs
This session will discuss reporting Evaluation and Management Services to Medicare as a Federally-Qualified Health Center. We will include a review of the new 2021 Evaluation and Management guidelines and how to apply them to FQHC billing. We will define FQHC providers, locations, and services. It is important that participants come away with a detailed understanding of the difference between “FQHC services” and “Non-FQHC services”, how each are billed, and how to avoid commingling problems. We will explore proper FQHC G-Payment code (G0466, etc.) for established and new patients, office visits, preventive services, multiple encounters, and minor surgical procedures. Incident-to services and venipuncture examples will be reviewed. We will take a look at how the Medicare payment and patient cost-sharing balances are calculated in relation to charge amounts and the FQHC PPS Encounter Rate. We will review several different detailed claim scenarios. Participants will leave with a detailed understanding of billing Evaluation and Management Codes in a FQHC.
Care Management Services for FQHCs
This session will review Chronic Care Management services and Principal Care Management for FQHCs and the various care options available. There are many services for which FQHC cannot directly bill. Care Management Services represent an opportunity to provide services to patients for which we may not be able to otherwise bill a direct line item. There are two different levels of care management services available of which few take advantage. There is a strong behavioral health component to Care Management Services. This session will provide an overview of Care Management Services for FQHCs. We will discuss the service and billing requirements, as well as claim reporting. We will review both FQHC-RHC specific G-codes (G0511 and G0512), including when and how to use them. Participants will leave this session with an in-depth understanding of FQHCs can integrate Care Management Services operationally and financially.
Virtual Communication Services and Remote Patient Monitoring for FQHCs
Virtual Communication Services are an opportunity for much confusion within the FQHC community, especially during the Public Health Emergency. We will review Virtual Communication services for FQHCs and all of the required components. We will distinguish these from telephone only services billed as Telehealth. We will review detailed service and billing requirements. We will distinguish Virtual Communication Services from Remote Patient Monitoring. This session will illuminate how to utilize Virtual Communication Services, what electronic communication is included, and what is not billable. We will, of course, provide claim examples.